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Organization
VITAL REHABILITATION
Active
Organization
VITAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY GIEWONT (SPEECH PATHOLOGIST)
(773) 685-8482
Entity
Organization
Contact information
Practice address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(773) 685-8482
(773) 685-8479
Mailing address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(773) 685-8482
(773) 685-8479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012147
IL
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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