Johnson, Iesha J

Johnson, Iesha J is an individual health care provider with primary practice located at 180 Miami St , Park Forest IL 60466-2329. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Johnson, Iesha J can be contacted via phone (773) 562-0066.

Contact Information

Primary practice address
180 Miami St Park Forest IL 60466-2329
Phone: (773) 562-0066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227.022523 Illinois

Profile Details

NPI number 1215706262
LBN Legal business name Johnson, Iesha J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2024
Last updated Jan 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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