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NPI Code Detail

MEDICARE: VITAL REHABILITATION CLINICS AND SERVICES INC P C

MEDICARE: VITAL REHABILITATION CLINICS AND SERVICES INC P C
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1659444677
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITAL REHABILITATION CLINICS AND SERVICES INC P C
Provider Business Mailing Address
First Line : 5820 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2616
Country : US
Telephone Number : 773-685-8482
Fax Number : 773-685-8479
Provider Business Practice Location Address
First Line : 5820 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2616
Country : US
Telephone Number : 773-685-8482
Fax Number : 773-685-8479
Authorized Official
Title or Position : PRESIDENT/CEO
Name : TOMASZ J KOKOCINSKI
Credential : DPT
Telephone Number : 773-685-8482
Provider Enumeration Date : 11/16/2006
Last Update Date : 06/09/2025

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Directions to “VITAL REHABILITATION CLINICS AND SERVICES INC P C ” Practice Location

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