Individual
ALLYSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
3032 N KENMORE AVE APT 2F, CHICAGO, IL 60657-4365
(630) 857-8005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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