Tara Johannesen
Tara Johannesen is a Pediatric Registered Nurse in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
225 E Chicago AveChicago, IL 60611-2991
Phone: (312) 227-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Registered Nurse (primary) | Taxonomy 163WP0200X · Licence 041.453775 (IL) |
|---|
Record details
| NPI number | 1770332520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 14, 2024 |
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