Johannesen, Tara
Johannesen, Tara is an sole proprietor health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Johannesen, Tara can be contacted via phone (312) 227-4000.Contact Information
Primary practice address
225 E Chicago Ave
Chicago IL 60611-2991
Phone: (312) 227-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 041.453775 | Illinois |
Profile Details
| NPI number | 1770332520 |
|---|---|
| LBN Legal business name | Johannesen, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2024 |
| Last updated | May 15th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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