SRS MEN'S VITALITY HUB
NPI 1194589432
Nurse Practitioner - Family in Tinley Park, IL

Q: What is Srs Men's Vitality Hub's NPI number?

The NPI number for Srs Men's Vitality Hub is 1194589432. It was assigned to this organization in the NPPES registry on February 7, 2024.

Q: What is Srs Men's Vitality Hub's specialty?

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

Active since February 07, 2024

7907 W 159TH ST UNIT C, TINLEY PARK, IL 60477(312) 872-8864 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Srs Men's Vitality Hub NPPES

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

SRS MEN'S VITALITY HUB (NPI 1194589432) is a healthcare organization registered as a family in Tinley Park, Illinois and active in the NPI registry since February 2024. The organization maintains a secondary practice location in Bartlett and lists Shannon Rose Lewis, Provider, Owner, as its authorized official.

NPPES Registry Identity

NPI1194589432

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSRS MEN'S VITALITY HUB

Location Address7907 W 159TH ST UNIT CTinley Park, IL 60477-1345

Mailing Address850 W Bartlett Rd Ste 5cBartlett, IL 60103-4454 · (128) 728-8643

Phone(312) 872-8864

Organization SubpartNo

Authorized OfficialShannon Rose LewisProvider, Owner · (312) 437-0472

Enumeration DateFebruary 7, 2024

NPPES CertifiedFebruary 7, 2024

✔ NPI 1194589432 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

7907 W 159TH ST UNIT C, Tinley Park, IL 60477

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Secondary Practice Location 1

Location 1850 W Bartlett Rd Ste 5CBartlett, IL 60103-4454 · Phone (312) 872-8864

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Srs Men's Vitality Hub's NPI number?

The NPI number for Srs Men's Vitality Hub is 1194589432. It was assigned to this organization in the NPPES registry on February 7, 2024.

Where is Srs Men's Vitality Hub located?

Srs Men's Vitality Hub is located at 7907 W 159th St Unit C, Tinley Park, IL 60477. The listed phone number is (312) 872-8864.

What is Srs Men's Vitality Hub'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 Srs Men's Vitality Hub was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.