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NPI Profile for TRUDY J JOHNSON in CHICAGO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics, Critical Care |
363LP0222X | 50 | Nurse Practitioner |
| NPI # | 1093378986 |
|
| Status | Active | |
| Credentials | PNP | |
| Entity | Individual | |
| Enumeration date | 04/17/2019 | |
| Last updated | 08/23/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TRUDY J JOHNSON
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TRUDY J JOHNSON, PNP