Judith English Johnson, PT

Individual provider Active NPI Physical Therapist · Clarendon Hills, IL

NPI 1487081964 · NPPES record last updated Sep 30, 2013

Key facts

NPI
1487081964
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070006157 (IL)
Practice address
215 55TH St
Clarendon Hills, IL 60514-1578
Phone
(630) 468-2776
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
070006157ILMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070006157 IL Yes

Addresses

Primary practice location

215 55TH St
Clarendon Hills, IL 60514-1578

Mailing address

1904 Chippingham Rd
Woodridge, IL 60517-4623

Other providers in Clarendon Hills, IL

All providers in Clarendon Hills, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.