# VITAL REHABILITATION ASSOCIATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407858483
- **Authorized official:** MR. TOMASZ J KOKOCINSKI LICENSED PHYSICAL TH (OWNER/PRESIDENT/HEAD THERAPIST)
- **Authorized official phone:** (773) 685-8482

## Contact information

- **Practice address:** 5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
- **Practice address phone:** (773) 685-8482
- **Practice address fax:** (773) 685-8479
- **Mailing address:** 5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
- **Mailing address phone:** (773) 685-8482
- **Mailing address fax:** (773) 685-8479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 11/02/2011
