Individual
NEAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2760
Mailing address
2650 RIDGE AVE., EVANSTON, IL 60201
(847) 570-2760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.394585
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.020300
IL
Other
Enumeration date
10/26/2019
Last updated
10/29/2019
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