IndividualActive
Trudy Johnson, PNP
NPI 1093378986 · Critical Care Pediatric Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1093378986
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209018871 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5841 S Maryland Ave # Mc1145
Chicago, IL 60637-1443
Phone: (773) 702-6681
Approximate (ZIP-level) locationGet directions
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2019-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.