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Ms. Amanda Johnson
Student in an Organized Health Care Education/Training Program in Waukegan, Illinois
NPI 1366160947

Amanda Johnson is a Student in an Organized Health Care Education/Training Program based in Waukegan, IL. Amanda Johnson practices in Waukegan, IL. The NPI Number for Amanda Johnson is 1366160947 and holds a License No. (Illinois).

The current practice location address for Amanda Johnson is 2025 Washington St, Waukegan, IL and can be reached out via phone at 847-219-1846.

Location: 2025 Washington St, Waukegan, IL, 60085-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366160947
Provider Name
Amanda Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2025 Washington St, Waukegan, IL, 60085-5131
Phone Number
847-219-1846
Fax Number
Provider Enumeration Date
08/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2025 Washington St
City
Waukegan
State
Illinois
Zip
60085-5131
Phone Number
847-219-1846
Fax Number
person
Provider Business Mailing Address Details
Address
2025 Washington St
City
Waukegan
State
Illinois
Zip
60085-5131
Phone Number
847-219-1846
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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