Vodopic, Stephanie L.

Vodopic, Stephanie L. is an individual health care provider with primary practice located at 1740 W Taylor St Room C-100, Chicago IL 60612-7232. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Vodopic, Stephanie L. can be contacted via phone (312) 996-3700.

Contact Information

Primary practice address
1740 W Taylor St Room C-100 Chicago IL 60612-7232
Phone: (312) 996-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 070013804 Illinois

Profile Details

NPI number 1497007587
LBN Legal business name Vodopic, Stephanie L.
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2012
Last updated Oct 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497007587 NPPES
Illinois MEDICAID 376000511

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