Individual
CONSUELO DIVINA VIGILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9519 N MILWAUKEE AVE, NILES, IL 60714-1211
(847) 390-0999
Mailing address
600 N MCCLURG CT APT 1304A, CHICAGO, IL 60611-4246
(248) 730-0984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.027265
IL
Other
Enumeration date
05/17/2022
Last updated
10/06/2025
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