Individual
MS. DIANA LEA LILJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11447 2ND ST STE 9B, ROSCOE, IL 61073-9522
(815) 742-1698
(815) 623-1476
Mailing address
11447 2ND ST STE 9B, ROSCOE, IL 61073-9522
(815) 742-1698
(815) 623-1476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070005636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
426814
BCBS
IL
Enumeration date
04/14/2008
Last updated
02/14/2017
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