Individual
EMILY DIANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
201 E HURON ST STE 11-140, CHICAGO, IL 60611-2968
(312) 926-7140
(312) 707-2467
Mailing address
201 E HURON ST STE 11-140, CHICAGO, IL 60611-2968
(312) 926-7140
(312) 707-2467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041430416
IL
363L00000X
Nurse Practitioner
Primary
209028064
IL
363LA2100X
Acute Care Nurse Practitioner
209.028064
IL
Other
Enumeration date
05/03/2023
Last updated
11/20/2023
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