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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