VITAL REHABILITATION & PHYSICAL THERAPY INC (NPI# 1194898114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194898114 |
| Entity Type | Organization |
| Organization Name | VITAL REHABILITATION & PHYSICAL THERAPY INC |
| Practice Address |
11600 S Kedzie Merrionette Park IL 60803 |
| Mailing Address |
5820 W Irving Park Rd Chicago IL 60634 |
| Practice Telephone | 7083716441 |
| Practice Fax Number | 7083716429 |
| Mailing Telephone | 7736858482 |
| Mailing Fax Number | 7736858479 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TOMASZ J KOKOCINSKI (PRESIDENT) |
| Authorized Official Telephone | 7083716441 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Street Address |
11600 S KEDZIE |
| City | MERRIONETTE PARK |
| State | IL |
| Zip Code | 60803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699173013 | American Medical Lab, Ltd | Clinical Medical Laboratory | 5130 W 125th Pl, American Medical Lab, Alsip, IL 60803 | 2014-12-17 |
| 1225387574 | A Touch of Class Dentistry II | Dentist | 12033 S. Pulaski Road, Alsip, IL 60803 | 2012-08-31 |
| 1841431657 | George P. Danos Inc | Dentist | 5101 W 111th St, Alsip, IL 60803 | 2009-03-09 |
| 1841203650 | Alsip Dental Arts PC | Dentist | 11107 South Lawler, Alsip, IL 60803 | 2006-08-14 |
| 1477500932 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 12001 S Pulaski Rd, Alsip, IL 60803 | 2006-05-30 |
| 1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
| 1467064360 | Yash Desai | Pharmacist | 12290 S Pulaski Rd, Alsip, IL 60803 | 2020-08-20 |
| 1609293539 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3243 W 115th St, Merrionette Park, IL 60803 | 2014-03-28 |
| 1114357092 | Abdul Hussein Darki | Pediatrics | 11808 S Pulaski Rd, Alsip, IL 60803 | 2013-11-14 |
| 1679603997 | Joseph Edward Statkus | Dentist | 11350 S Cicero Ave, Alsip, IL 60803 | 2007-03-06 |
| Find all providers in zip 60803 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871030130 | Safer Foundation | Clinic/Center | 3210 W Arthington St, Chicago, IL 60624-4121 | 2017-01-25 |
| 1447438635 | Empathy Rehab LLC | Clinic/Center | 2353 Hassell Rd, Hoffman Estates, IL 60169-2170 | 2008-02-10 |
| 1669695227 | Center for Rehabilitation Technology Inc | Clinic/Center | 64 S Prairie St, 218 Weinberg Arcade, Galesburg, IL 61401-4642 | 2007-04-11 |
| 1891812327 | Comgraph Inc. | Clinic/Center | 252 Main Street, Park Forest, IL 60466 | 2007-03-22 |
| 1265521959 | Milestone Rehabilitation | Clinic/Center | 474 Parkwood Circle, South Elgin, IL 60177 | 2006-10-12 |
| 1487747556 | Innovative Outpatient Medical Systems | Clinic/Center | 18425 West Creek Drive, Suite G, Tinley Park, IL 60477-6767 | 2006-10-02 |
| 1104477736 | Alden of Waterford, L.L.C. | Clinic/Center | 2021 Randi Dr, Aurora, IL 60504-4758 | 2019-09-25 |
| 1053824896 | Safer Foundation | Clinic/Center | 2839 W Fillmore St, Chicago, IL 60612-4051 | 2017-11-15 |
| 1942750930 | Joyner Therapy Services | Clinic/Center | 2907 Williamson County Pkwy, Marion, IL 62959-5256 | 2016-10-13 |
| 1447615513 | Ctf Illinois | Clinic/Center | 19015 S Jodi Rd, Mokena, IL 60448-8514 | 2015-12-16 |
| Find all providers with the same taxonomy | ||||
| City | MERRIONETTE PARK |
| Zip Code | 60803 |
Please comment or provide details below to improve the information on VITAL REHABILITATION & PHYSICAL THERAPY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.