Individual
MARY T JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
120 OSLER DRIVE, NAPERVILLE, IL 60540
(630) 428-2229
Mailing address
27555 DIEHL RD., ENTRANCE B, WARRENVILLE, IL 60555
(630) 646-3884
(630) 548-0276
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
41199041
IL
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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