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

Vitaliy M Stefanov, DPT

Individual provider Physical Therapist · NPI 1922613579

Vitaliy M Stefanov, DPT is a Physical Therapist in Bannockburn, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2211 Waukegan Rd
Bannockburn, IL 60015-1570
Phone: (847) 267-8600
Fax: (847) 267-9520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-025188 (IL)

Record details

NPI number1922613579
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

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