Bernal, Vivian A

Bernal, Vivian A is an individual health care provider with primary practice located at 4646 N Marine Dr , Chicago IL 60640-5759. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bernal, Vivian A can be contacted via phone (773) 564-5688.

Contact Information

Primary practice address
4646 N Marine Dr Chicago IL 60640-5759
Phone: (773) 564-5688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 056-004476 Illinois

Profile Details

NPI number 1306890553
LBN Legal business name Bernal, Vivian A
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Sep 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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