person
Ms. Mary Christine Johansen, APRN
Adult Health Nurse Practitioner in Long Grove, Illinois
NPI 1689208928

Mary Christine Johansen is an Adult Health Nurse Practitioner based in Long Grove, IL and is specialized in Adult Health. Mary Christine Johansen practices in Long Grove, IL and has the professional credentials of APRN. The NPI Number for Mary Christine Johansen is 1689208928 and holds a License No. 209.020914 (Illinois).

The current practice location address for Mary Christine Johansen is 3880 Salem Lake Dr Ste F, Long Grove, IL and can be reached out via phone at 847-719-2220 and via fax at 847-719-2265.

Location: 3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
person
Provider Profile Details
NPI Number
1689208928
Provider Name
Mary Christine Johansen
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
Provider Enumeration Date
02/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209020914 05 IL
institution
Provider Business Practice Location Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider Business Mailing Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209020614 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.020914 (Illinois)
Definition
Definition to come...
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