Individual provider · Type 1 NPI
Sandra Lynn Johansen, MS, ATC
Other Specialist/Technologist · Gurnee, IL
NPI number
1194787952
Active
Practice location
34090 Almond Rd
Gurnee, IL 60031-5310
Fax (847) 599-4300
Mailing address
2603 Elim Ave
Zion, IL 60099-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1194787952
Sandra Lynn Johansen, MS, ATC's National Provider Identifier is 1194787952, issued on Apr 5, 2006. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Gurnee, IL. The record was last updated on Jul 13, 2026.