VITALISCARE CLINIC LLC NPI 1881245314

NPI Information

  • NPI: 1881245314
  • Provider Name: VITALISCARE CLINIC LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Other Name: MKBB LLC
  • Address: 1212 E ALGONQUIN RD
    ALGONQUIN, IL
    ZIP 60102
  • Phone: (224) 713-0003

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NPI Details

VITALISCARE CLINIC LLC is an adult health nurse practitioner in Algonquin, IL. VITALISCARE CLINIC LLC NPI is 1881245314. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mkbb Llc.

The provider's business location address is:

1212 E ALGONQUIN RD
ALGONQUIN, IL
ZIP 60102-446
Phone: (224) 713-0003
Fax: (224) 678-7122

The provider's authorized official is Maria Kordas .
The authorized official title is Director and has the following contact phone number (224) 713-0003.

The enumeration date for this NPI number is 9/25/2019 and was last updated on 4/19/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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