Johnson, Lisa Grace

Johnson, Lisa Grace is an individual health care provider with primary practice located at 1601 Butterfield Trail , Kankakee IL 60901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnson, Lisa Grace can be contacted via phone (815) 936-6500.

Contact Information

Primary practice address
1601 Butterfield Trail Kankakee IL 60901
Phone: (815) 936-6500
Fax: (971) 206-5203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070012040 Illinois

Profile Details

NPI number 1184901480
LBN Legal business name Johnson, Lisa Grace
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2011
Last updated Nov 15th, 2011 - about 15 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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