Lilja, Diana Lea

Lilja, Diana Lea is an individual health care provider with primary practice located at 11447 2Nd St Ste 9B , Roscoe IL 61073-9522. 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. Lilja, Diana Lea can be contacted via phone (815) 742-1698.

Contact Information

Primary practice address
11447 2Nd St Ste 9B Roscoe IL 61073-9522
Phone: (815) 742-1698
Fax: (815) 623-1476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070005636 Illinois

Profile Details

NPI number 1326212093
LBN Legal business name Lilja, Diana Lea
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Feb 14th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326212093 NPPES
Illinois Other 426814 BCBS

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