1306800321 NPI number — MS. LAUREN K JOHNSON PT, DPT, PCS

Table of content: MS. LAUREN K JOHNSON PT, DPT, PCS (NPI 1306800321)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306800321 NPI number — MS. LAUREN K JOHNSON PT, DPT, PCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSON
Provider First Name:
LAUREN
Provider Middle Name:
K
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT, PCS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306800321
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1164 CLINTON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAK PARK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60304-1846
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-704-4315
Provider Business Mailing Address Fax Number:
708-680-0126

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1010 N HOOKER ST
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60642-4549
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-943-3600
Provider Business Practice Location Address Fax Number:
312-943-3096
Provider Enumeration Date:
04/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251P0200X , with the licence number:  070.020630 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251P0200X , with the licence number: 070020630 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0403 . This is a "PHYSICAL THERAPY LICENSE" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".




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