Provider Demographics
NPI:1912608787
Name:BOYKO, VERA (PT, DPT)
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:BOYKO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:VERA
Other - Middle Name:
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1407 S LAKE PARK AVE UNIT A
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-6635
Practice Address - Country:US
Practice Address - Phone:219-947-3637
Practice Address - Fax:219-947-5267
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
IN225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist