Individual
MELINDA P JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
405 N WABASH AVE UNIT 4403, CHICAGO, IL 60611-3527
(312) 955-8787
(312) 955-8789
Mailing address
405 N WABASH AVE UNIT 4403, CHICAGO, IL 60611-3527
(312) 955-8787
(312) 955-8789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.430210
IL
Other
Enumeration date
04/05/2024
Last updated
04/09/2024
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