Individual
HENRY VACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-3600
Mailing address
336 W WELLINGTON AVE APT 1202, CHICAGO, IL 60657-5609
(773) 882-3650
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.028568
IL
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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