PHILIP VEDOVA
NPI 1811523053
Counselor - Professional in Downers Grove, IL
Active since March 19, 2020
About Philip Vedova NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP VEDOVA (NPI 1811523053) is an individual professional provider in Downers Grove, Illinois, licensed in Illinois (178011730) and active in the NPI registry since March 2020.
NPPES Registry Identity
NPI1811523053
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePHILIP VEDOVA
Location Address1001 MAPLE AVEDowners Grove, IL 60515-4928
Mailing Address2711 Buckingham Dr Apt 207Lisle, IL 60532-4272 · (630) 819-0198
Phone(630) 751-9908
Sole ProprietorYes
Enumeration DateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
✔ NPI 1811523053 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178011730
1001 MAPLE AVE, Downers Grove, IL 60515
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811523053, enumerated as an "individual" on March 19, 2020.
The provider is located at 1001 MAPLE AVE DOWNERS GROVE, IL 60515 and the phone number is (630) 751-9908.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
