Marianne P. Vuckovich, R.K.T.

Primary specialty

KinesiotherapistTaxonomy code 226300000X

License

1070 Issued in IL

Practice address

1044 N Western Ave
Lake Forest, IL 60045-1282

Phone

(847) 234-0404

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marianne P. Emich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Body Fixx

  • Physical Therapy Clinic/Center
  • Lake Forest, IL
  • NPI 1568782316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841412822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WARWICK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153328",
            "telephone_number": "847-945-4845",
            "fax_number": "847-945-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451282",
            "telephone_number": "847-234-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUCKOVICH",
        "first_name": "MARIANNE",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "R.K.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "IL",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "EMICH",
            "middle_name": "P.",
            "prefix": "MS.",
            "credential": "R.K.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael P Viglione, MD PHD
• Courtney Keene Viscomi, PSYD, BCBA
• Kathryn Vitale, MSN, APN, AGCNS-BC
• Katherine Lynn Voigt, PA-C
• Halle Cecilia Voos, MA, CCC-SLP
• W Brian Ross DDS PC
• Jamie Brenna Wabich, M.D.
• Donna Wagner, CCC-SLP
• Edye Lynn Wagner, RD, LDN
• Walgreen Co (Walgreens #21143)

• Kinesiotherapist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Kinesiotherapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.