Johnson, Trudy Jean

Johnson, Trudy Jean is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave # Mc1145 , Chicago IL 60637-1443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Johnson, Trudy Jean can be contacted via phone (773) 702-6681.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc1145 Chicago IL 60637-1443
Phone: (773) 702-6681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 209018871 Illinois

Profile Details

NPI number 1093378986
LBN Legal business name Johnson, Trudy Jean
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2019
Last updated Aug 23rd, 2019 - about 5 years 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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