Active NPI
Elizabeth Vongontard, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1760993901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023287
- Practice address
- 2515 N Clark St
Chicago, IL 60614-2730 - Phone
- (312) 227-6240
- NPI assigned
- Oct 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070023287 | IL | Primary |
Addresses
Primary practice location
2515 N Clark St
Chicago, IL 60614-2730
Mailing address
2000 N Lincoln Park W Unit 1110
Chicago, IL 60614-4708
Phone (314) 766-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070023287 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508112000000",
"number": "1760993901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 N LINCOLN PARK W UNIT 1110",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144708",
"telephone_number": "314-766-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142730",
"telephone_number": "312-227-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONGONTARD",
"first_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-16",
"last_updated": "2017-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Chanthou Vong, M.D.
- Pimmasone Kimberly Vongkhamchanh, LCSW
- Vongluekiat & Choi LLC (Bridgeport Family Dental Center)
- Irene Vongluekiat, O.D.
- Steven Vongluekiat, DDS
- Malina Vongxay
- Vonna Karoghlanian Physical Therapy PC (VK Physical Therapy PC)
- Jamie Vonroenn, MD
- Rose-Anna Voog, MD
- Saicharan Venkata Voora
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.