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Individual

MS. JULIE ANN JOHNSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5481 SOUTH MARYLAND AVENUE, CHICAGO, IL 60637
(773) 702-6700
Mailing address
11906 HAWTHORNE PL, CEDAR LAKE, IN 46303-8412
(219) 741-6746

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007016
IL

Other

Enumeration date
07/10/2010
Last updated
07/10/2010
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