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Madelyn G Johnson
Student in an Organized Health Care Education/Training Program in Northbrook, Illinois
NPI 1881316784

Madelyn G Johnson is a Student in an Organized Health Care Education/Training Program based in Northbrook, IL. Madelyn G Johnson practices in Northbrook, IL. The NPI Number for Madelyn G Johnson is 1881316784 and holds a License No. (Illinois).

The current practice location address for Madelyn G Johnson is 60 Revere Dr Ste 100, Northbrook, IL and can be reached out via phone at 224-306-1879 and via fax at 224-306-1878.

Location: 60 Revere Dr Ste 100, Northbrook, IL, 60062-1590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881316784
Provider Name
Madelyn G Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
60 Revere Dr Ste 100, Northbrook, IL, 60062-1590
Phone Number
224-306-1879
Fax Number
224-306-1878
Provider Enumeration Date
09/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
60 Revere Dr Ste 100
City
Northbrook
State
Illinois
Zip
60062-1590
Phone Number
224-306-1879
Fax Number
224-306-1878
person
Provider Business Mailing Address Details
Address
60 Revere Dr Ste 100
City
Northbrook
State
Illinois
Zip
60062-1590
Phone Number
224-306-1879
Fax Number
224-306-1878
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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