Provider Demographics
NPI:1396516837
Name:PELVIC VESTIBULAR & ORTHOPEDIC PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:PELVIC VESTIBULAR & ORTHOPEDIC PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEMLEKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, FAAOMPT
Authorized Official - Phone:773-366-4415
Mailing Address - Street 1:204 WILTON LN
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-4531
Mailing Address - Country:US
Mailing Address - Phone:773-366-4415
Mailing Address - Fax:
Practice Address - Street 1:204 WILTON LN
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-4531
Practice Address - Country:US
Practice Address - Phone:773-366-4415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy