VITAL REHABILITATION ASSOCIATION, INC. (NPI# 1407858483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407858483 |
Entity Type | Organization |
Organization Name | VITAL REHABILITATION ASSOCIATION, INC. |
Practice Address |
5820 W Irving Park Rd Chicago IL 60634-2616 |
Practice Telephone | 7736858482 |
Practice Fax Number | 7736858479 |
Mailing Telephone | 7736858482 |
Mailing Fax Number | 7736858479 |
Enumeration Date | 2005-08-10 |
Last Update Date | 2011-11-02 |
Authorized Official Name | MR. TOMASZ J KOKOCINSKI (OWNER/PRESIDENT/HEAD THERAPIST) |
Authorized Official Telephone | 7736858482 |
Authorized Official Credential | LICENSED PHYSICA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Street Address |
5820 W IRVING PARK RD |
City | CHICAGO |
State | IL |
Zip Code | 60634-2616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750997227 | Michelle Metevier | Physical Therapist | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2020-09-21 |
1891340451 | Emily Rayne Wilson | Occupational Therapist | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2019-08-09 |
1295298032 | Marcia Gilson | Occupational Therapist | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2019-04-09 |
1508348053 | Clare Ehlbeck | Physical Therapist | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2018-08-31 |
1174048946 | Analisa Rose Martinez | Speech-Language Pathologist | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2017-08-14 |
1104350966 | Alissa Gold | Speech-Language Pathologist | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2017-04-18 |
1629510532 | Shana Ashley Manning | Physical Therapist | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2016-11-09 |
1497297667 | Katelyn Marie Derrig | Occupational Therapist | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2016-11-04 |
1114381274 | Agnieszka Urbanek | Occupational Therapy Assistant | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2016-04-05 |
1699131383 | Agata Guzek | Speech-Language Pathologist | 5820 W Irving Park Rd, Chicago, IL 60634-2616 | 2016-01-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
Find all providers in zip 60634 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
1588278741 | Rci (wrs), LLC. | Clinic/Center | 1151 S State St, Chicago, IL 60605-2304 | 2020-09-04 |
1043824287 | Rci (wrs), LLC. | Clinic/Center | 1525 E 55th St Ste 305, Chicago, IL 60615-5576 | 2020-09-04 |
1396359469 | Rci (wrs), LLC. | Clinic/Center | 939 W North Ave Ste 300, Chicago, IL 60642-7139 | 2020-09-04 |
1134733298 | Rci (wrs), LLC. | Clinic/Center | 444 W Jackson Blvd Lbby 1, Chicago, IL 60606-6951 | 2020-09-04 |
1255945317 | Rci (wrs), LLC. | Clinic/Center | 1751 W Division St Unit C-1e, Chicago, IL 60622-4086 | 2020-09-04 |
1144834227 | Rci (wrs), LLC. | Clinic/Center | 2400 N Sheffield Ave Ste 100, Chicago, IL 60614-3936 | 2020-09-04 |
1306404728 | Rci (wrs), Inc. | Clinic/Center | 1030 N Clark St Fl 6, Chicago, IL 60610-5467 | 2019-05-31 |
1831580075 | Avanza Rehabilitation Ltd | Clinic/Center | 3501 E 106th St Ste 102, Chicago, IL 60617-6625 | 2015-02-10 |
1417195900 | Total Therapy & Medical Center, Ltd. | Clinic/Center | 4832 N Sheridan Rd, Chicago, IL 60640-3704 | 2009-01-22 |
Find all providers in CHICAGO |
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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.