Organization
VITAL REHABILITATION & PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMASZ J KOKOCINSKI DPT (PRESIDENT)
(708) 371-6441
Entity
Organization
Contact information
Practice address
11600 S KEDZIE, MERRIONETTE PARK, IL 60803
(708) 371-6441
(708) 371-6429
Mailing address
5820 W IRVING PARK RD, CHICAGO, IL 60634
(773) 685-8482
(773) 685-8479
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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