Individual
LYNETTE J VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
6700 S BRAINARD AVE APT 102, COUNTRYSIDE, IL 60525-2697
(708) 975-7736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
16008994
IL
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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