Vidit Atul Phanse

Physical Therapist · Lockport, IL

Individual Active NPI

NPI number 1043731540

Practice location

1065 E 9TH St
Lockport, IL 60441-3567
Phone
(815) 588-1366

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NPI record

NPI
1043731540
Entity type
Individual (Type 1)
Enumeration date
July 5, 2017
Last updated
March 6, 2026
Certified
March 6, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 070022922 IL
Physical Therapist 225100000X P23372 NC

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

About Vidit Phanse

Vidit Atul Phanse is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1065 E 9TH St, Lockport, IL 60441-3567. The NPI number 1043731540 was assigned on July 5, 2017 and the record was last updated on March 6, 2026.

Vidit Phanse lists 2 licenses in the registry: #070022922 (IL) for Physical Therapist; #P23372 (NC) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Vidit Atul Phanse?

The NPI number is 1043731540.

What is the phone number of Vidit Phanse?

The phone number listed for the practice location is (815) 588-1366.

Where is Vidit Phanse located?

1065 E 9TH St, Lockport, IL 60441-3567.

What is the taxonomy code for Vidit Phanse?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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