Provider Demographics
NPI:1033394499
Name:VYAS, DIPIKA C
Entity Type:Individual
Prefix:
First Name:DIPIKA
Middle Name:C
Last Name:VYAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1096 ORANGERY CT
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-1396
Mailing Address - Country:US
Mailing Address - Phone:630-886-3067
Mailing Address - Fax:
Practice Address - Street 1:1096 ORANGERY CT
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-1396
Practice Address - Country:US
Practice Address - Phone:630-886-3067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide