Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306890553 Individual Practitioner Female Practitioner

Vivian A Bernal , OT

Specialist • Chicago, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Vivian Bernal, OT is a registered healthcare professional specializing in Specialist in Chicago, IL. Official NPI practice address is registered at 4646 N MARINE DR.

Practice Location & Contact Primary Location

Practice Address

4646 N Marine Dr

Chicago, IL 606405759

Telephone 7735645688
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
270 Specialists

Practicing in Chicago, IL (1322 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 056-004476

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Erin Golub , DPT

Physical Therapist

NPI 1205185097

Doctor of Physical Therapy

NPI 1851640049

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2012

Registered at 4646 N MARINE DR, CHICAGO, IL 606405759 (Tel: 7735645688)

📍
Updated Business Mailing Address September 04, 2012

Registered at 4646 N MARINE DR, CHICAGO, IL 606405759 (Tel: 7735645688)

👤
Provider Name / Credentials Updated September 04, 2012

Recorded as VIVIAN BERNAL, OT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2012

Specialist (License #056-004476 in IL)

🟢
Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306890553
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2006
Last Update: September 04, 2012
Sole Proprietor: No

Mailing Address

4646 N Marine Dr

Chicago, IL 606405759

Phone: 7735645688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.