Individual
STEPHANIE L. VODOPIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1740 W TAYLOR ST, ROOM C-100, CHICAGO, IL 60612-7232
(312) 996-3700
Mailing address
1740 W TAYLOR ST, ROOM C-100, CHICAGO, IL 60612-7232
(312) 996-3700
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
070013804
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376000511
—
IL
Enumeration date
10/12/2012
Last updated
10/12/2012
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