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NPI Code Detail

MEDICARE: ALICIA JOHNSON LMT

MEDICARE:   ALICIA  JOHNSON  LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist227024190IL

General Provider Information

NPI Number : 1982538872
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA JOHNSON LMT
Provider Business Mailing Address
First Line : 11416 S MICHIGAN AVE STE 5
Second Line :
City : CHICAGO
State : IL
Zip : 60628-4932
Country : US
Telephone Number : 872-256-2036
Fax Number :
Provider Business Practice Location Address
First Line : 11416 S MICHIGAN AVE STE 5
Second Line :
City : CHICAGO
State : IL
Zip : 60628-4932
Country : US
Telephone Number : 872-256-2036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ ALICIA JOHNSON LMT” Practice Location

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