Provider Demographics
NPI:1679744080
Name:VARGAS, WILMA MARGARITA
Entity Type:Individual
Prefix:MRS
First Name:WILMA
Middle Name:MARGARITA
Last Name:VARGAS
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 1:2101 GRAND POINTE TRL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-8206
Mailing Address - Country:US
Mailing Address - Phone:630-499-5102
Mailing Address - Fax:
Practice Address - Street 1:2101 GRAND POINTE TRL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-8206
Practice Address - Country:US
Practice Address - Phone:630-499-5102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist