MARY JOHANSEN, APRN, CNP

APRN, CNP

Nurse Practitioner

NPI: 1689208928IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

209020914(IL)

Adult Health Nurse Practitioner

Nurse Practitioner — Adult Health

Code: 363LA2200X

209020614(IL)

Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

209.020914(IL)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2019

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Contact & Hours

Address: 3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Phone: (847) 719-2220

Locations (2)

Practice Location

3880 SALEM LAKE DR STE F, LONG GROVE, IL

Practice Location

4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL

Quick Facts

NPI: 1689208928
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 3
Locations: 2
Years in Practice: 7

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