Individual
EILEEN MARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
8434 CORCORAN RD, WILLOW SPRINGS, IL 60480-1666
(708) 467-0657
Mailing address
8434 CORCORAN RD, WILLOW SPRINGS, IL 60480-1666
(708) 467-0657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.018068
IL
Other
Enumeration date
12/02/2010
Last updated
06/22/2020
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