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Contact Information

MARY T JOHNSON, RN, APN-BC
111 N COUNTY FARM RD
WHEATON, IL60187-3977
 Phone: 630-682-7979
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for MARY T JOHNSON · (Female)

NPI Number 1982781555
Status Active
Credentials RN, APN-BC
Entity Individual
Enumeration date 11/01/2006
Last updated 11/30/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041-173677
  • IL License # 209002769
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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