Johnson, Tara K

Johnson, Tara K is an individual health care provider with primary practice located at 1700 Luther Ln Ste 1220 , Park Ridge IL 60068-1270. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Tara K can be contacted via phone (847) 723-4400.

Contact Information

Primary practice address
1700 Luther Ln Ste 1220 Park Ridge IL 60068-1270
Phone: (847) 723-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209025363 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209025363 Illinois

Profile Details

NPI number 1497470793
LBN Legal business name Johnson, Tara K
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2022
Last updated Jun 12th, 2024 - about 5 months ago

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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