Paulina Vivanco, COTA/L

NPI 1043170251 · on the registry since 2025

Practice

Address: 1749 N Wells St
Chicago, IL 60614
Phone: (312) 440-9646
Organisation at this address: David H Baukol Dds Pc
Authentic Voice & Speech Llc
Peak Performance Health Center Ltd
Peak Performance Health Center Ltd
Krs Sports Medicine And Rehabilitation, Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois