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Individual

MR. BYRON MELVIN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN-CRNA

Contact information

Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-9013
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-9013

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9343184
FL
367500000X
Certified Registered Nurse Anesthetist
209023906
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209024135
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014279800
FL
Enumeration date
01/28/2015
Last updated
02/05/2026
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