Maldonado, Vanessa
Maldonado, Vanessa is an individual health care provider with primary practice located at 6347 Cermak Rd Ste A , Berwyn IL 60402-4748. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Maldonado, Vanessa can be contacted via phone (708) 749-2566.Contact Information
Primary practice address
6347 Cermak Rd Ste A
Berwyn IL 60402-4748
Phone: (708) 749-2566
Fax: (708) 749-2498
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-026973 | Illinois |
Profile Details
NPI number | 1174289300 |
---|---|
LBN Legal business name | Maldonado, Vanessa |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 11th, 2021 |
Last updated | Oct 3rd, 2022 - about 3 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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