Individual provider · Type 1 NPI

Trudy Jean Johnson, PNP

Critical Care Pediatric Nurse Practitioner · Chicago, IL

NPI number 1093378986 Active

Practice location

5841 S Maryland Ave # MC1145
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X209018871 (IL)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1093378986

Trudy Jean Johnson, PNP's National Provider Identifier is 1093378986, issued on Apr 17, 2019. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Chicago, IL. The record was last updated on Aug 23, 2019.