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Organization
EZEKIEL EARLY INTERVENTION SERVICES L.L.C.
Active
Organization
EZEKIEL EARLY INTERVENTION SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANETA CHANELLE JOHNSON DT (DEVELOPMENTAL THERAPIST)
(773) 850-5543
Entity
Organization
Contact information
Practice address
7445 ROOSEVELT RD APT 7445, FOREST PARK, IL 60130-2555
(773) 850-5543
(773) 850-5543
Mailing address
7445 ROOSEVELT RD APT 206-B, 7445, FOREST PARK, IL 60130-2555
(773) 850-5543
(773) 850-5543
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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