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1730543703
KYLE JOHNSON
SPRINGFIELD, IL
NPI
1730543703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070018611)
Enumeration Date
2016-04-06
Last Update Date
2020-05-22
Business Address
KYLE JOHNSON DPT
800 N 1ST ST
SPRINGFIELD, IL 62702-3719
Phone number: 217-528-7541
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Mailing Address
KYLE JOHNSON DPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6200
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