Individual
JENNIFER VANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16655 W KELLY RD, WADSWORTH, IL 60083-9639
(847) 525-1470
Mailing address
16655 W KELLY RD, WADSWORTH, IL 60083-9639
(847) 525-1470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009079
IL
225200000X
Physical Therapy Assistant
3138-19
WI
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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