Provider Demographics
NPI:1952669392
Name:VISION THERAPY INSTITUTE
Entity Type:Organization
Organization Name:VISION THERAPY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:INGRYD
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZANA
Authorized Official - Suffix:
Authorized Official - Credentials:OPTOMETRIST
Authorized Official - Phone:847-891-8055
Mailing Address - Street 1:19 E SCHAUMBURG RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3503
Mailing Address - Country:US
Mailing Address - Phone:847-891-8055
Mailing Address - Fax:847-891-8045
Practice Address - Street 1:19 E SCHAUMBURG RD
Practice Address - Street 2:SUITE 108
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3503
Practice Address - Country:US
Practice Address - Phone:847-891-8055
Practice Address - Fax:847-891-8045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046008743261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation