Provider Demographics
NPI:1467605477
Name:VIVO MOBILITY, INC.
Entity Type:Organization
Organization Name:VIVO MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, ATP
Authorized Official - Phone:630-773-0933
Mailing Address - Street 1:774 WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-2864
Mailing Address - Country:US
Mailing Address - Phone:630-773-0933
Mailing Address - Fax:
Practice Address - Street 1:774 WILLOW CT
Practice Address - Street 2:
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-2864
Practice Address - Country:US
Practice Address - Phone:630-773-0933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health