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1619142809
DIANE L JOHNSON
GLENVIEW, IL
NPI
1619142809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 160.001865)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
-- DIANE L JOHNSON PTA
3703 W LAKE AVE STE 200
GLENVIEW, IL 60026-1266
Phone number: 847-998-1188
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Mailing Address
-- DIANE L JOHNSON PTA
6506 LANGSFORD LN
PLAINFIELD, IL 60586-7209
Phone number:
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