VITALITY FOREVER HEALTHCARE P.C NPI 1396162392

NPI Information

VITALITY FOREVER HEALTHCARE P.C is a family nurse practitioner in Buffalo Grove, IL. VITALITY FOREVER HEALTHCARE P.C NPI is 1396162392. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vitality Urgent Care.

The provider's business location address is:

56 W DUNDEE RD
BUFFALO GROVE, IL
ZIP 60089-758
Phone: (224) 601-5001
Fax: (224) 333-7063

The provider's authorized official is Rodion Levin .
The authorized official title is Provider and has the following contact phone number (224) 628-3643.

The CLIA number assigned to this NPI record is 14D2257582 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 1/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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