Sandra Lynn Johansen in Gurnee - Specialist/technologist, Other
Sandra Lynn Johansen - NPI 1194787952
Sandra Lynn Johansen is a Specialist/technologist, Other in Gurnee, Illinois. Sandra Lynn Johansen practices all healthcare services and medical treatments related to Specialist/technologist, Other. The NPI Number for Sandra Lynn Johansen is 1194787952. The last update date is 2007-07-08.
Sandra Lynn Johansen's current location address is 34090 Almond Rd, Gurnee, Illinois. You can contact this provider via phone number 1847599441 and fax number 8475994300. The mailing address for Sandra Lynn Johansen is 34090 Almond Rd, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Lynn Johansen |
|---|---|
| Address | 34090 Almond Rd, Gurnee, Illinois |
| Phone Number | 1847599441 |
| Fax Number | 8475994300 |
| Sole Proprietor | X |
| Credentials | MS, ATC |
NPI Number Detail
| NPI Number | 1194787952 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 34090 Almond Rd |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600315310 |
| Phone Number | 1847599441 |
| Fax Number | 8475994300 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist/technologist, Other |
|---|---|
| Taxonomy | 246Z00000X |
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Definition: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
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What is the unique 10-digit identification code issued to Sandra Lynn Johansen by the Centers for Medicare & Medicaid Services?
The Sandra Lynn Johansen has been assigned the NPI (National Provider Identifier) 1194787952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Sandra Lynn Johansen located?
The Sandra Lynn Johansen is located at 34090 Almond Rd, Gurnee, IL 600315310.
What is Sandra Lynn Johansen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sandra Lynn Johansen's area of specialization is Specialist/technologist, Other, and the corresponding taxonomy code that categorizes this field of practice is 246Z00000X.
On what date was the 1194787952 assigned to Sandra Lynn Johansen?
The Sandra Lynn Johansen was issued its 1194787952 on 2006-04-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Sandra Lynn Johansen most recently updated or refreshed?
The details pertaining to the Sandra Lynn Johansen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.