Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Vidican

Individual provider Physical Therapy Assistant · NPI 1013882091

Jennifer Vidican is a Physical Therapy Assistant in Shorewood, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

710 W Black Rd
Shorewood, IL 60404-8400
Phone: (815) 230-8700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160007824 (IL)

Record details

NPI number1013882091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address25184 Faraday Rd, Manhattan, IL 60442-6216

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