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VITALITY MEDICAL CARE LLC
NPI 1073340030
Nurse Practitioner - Family in Mount Prospect, IL

Active since September 16, 2024
1754 E TANO LN, MOUNT PROSPECT, IL 60056(847) 910-6059(360) 554-0143 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vitality Medical Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY MEDICAL CARE LLC (NPI 1073340030) is a healthcare organization registered as a family in Mount Prospect, Illinois and active in the NPI registry since September 2024. The organization lists Michael Castaneda, Owner, as its authorized official.

NPPES Registry Identity

NPI1073340030
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITALITY MEDICAL CARE LLC
Location Address1754 E TANO LNMount Prospect, IL 60056-1718
Mailing Address1754 E Tano LnMount Prospect, IL 60056-1718 · (847) 910-6059
Phone(847) 910-6059
Fax(360) 554-0143
Organization SubpartNo
Authorized OfficialMichael CastanedaOwner · (847) 910-6059
Enumeration DateSeptember 16, 2024
NPPES CertifiedSeptember 15, 2024
✔ NPI 1073340030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1754 E TANO LN, Mount Prospect, IL 60056
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Medical Care LLC's NPI number?

The NPI number for Vitality Medical Care LLC is 1073340030. It was assigned to this organization in the NPPES registry on September 16, 2024.

Where is Vitality Medical Care LLC located?

Vitality Medical Care LLC is located at 1754 E Tano Ln, Mount Prospect, IL 60056. The listed phone number is (847) 910-6059.

What is Vitality Medical Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vitality Medical Care LLC was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.