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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA JOHANNESEN

Active Sole Proprietor

TARA JOHANNESEN is a Pediatric Nurse healthcare provider located in CHICAGO, Illinois. NPI 1770332520 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse · CHICAGO, IL

Registration Details

NPI Number
1770332520
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2024 (2.260271371482 yrs)
Last Updated
May 15, 2024
License
041.453775 (IL)
Sole Proprietor
Yes

Practice Information

Address
225 E CHICAGO AVE
CHICAGO, IL, 606112991
Browse IL providers · Browse ZIP 60611
Phone
3122274000
Primary Specialty
Pediatric Nurse
163WP0200X

Other Pediatric Nurse Providers in CHICAGO, IL

Name Credential NPI
MS. LYNN M HEALD APN 1285620898
CHRISTINE MARIE PYTEL RN 1407898901
MS. PATRICIA LYNCH-STAPLETON APN/NP 1437178597
MS. KATHLEEN MARY FISHER APN MS CCRN CCNS 1659460582
MRS. MAUREEN ADELE MACMILLAN-BROWN R.N.BSN 1841410289
MS. FLORENCE LUVERCY MILLER APN 1598974479
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.