SI VITALITY SPECIALTY CLINIC LLC
NPI 1760286413
Clinic/Center - Multi-Specialty in Carterville, IL

Active since April 02, 2025
209 W COMMERCIAL DR STE E, CARTERVILLE, IL 62918(618) 684-7087(618) 822-4045 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Si Vitality Specialty Clinic Llc NPPES

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

SI VITALITY SPECIALTY CLINIC LLC (NPI 1760286413) is a healthcare organization registered as a multi-specialty in Carterville, Illinois and active in the NPI registry since April 2025. The organization lists Samantha Christopher, Aprn, Founder, as its authorized official.

NPPES Registry Identity

NPI1760286413
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSI VITALITY SPECIALTY CLINIC LLC
Location Address209 W COMMERCIAL DR STE ECarterville, IL 62918-2057
Mailing Address209 W Commercial Dr Ste ECarterville, IL 62918-2057 · (618) 684-7087 · Fax (618) 822-4045
Fax(618) 822-4045
Organization SubpartNo
Authorized OfficialSamantha ChristopherAprn, Founder · (618) 684-7087
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
NPI 1760286413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
209 W COMMERCIAL DR STE E, Carterville, IL 62918

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
209 W COMMERCIAL DR STE E
CARTERVILLE, IL 62918

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 Si Vitality Specialty Clinic LLC's NPI number?

The NPI number for Si Vitality Specialty Clinic LLC is 1760286413. It was assigned to this organization in the NPPES registry on April 2, 2025.

Where is Si Vitality Specialty Clinic LLC located?

Si Vitality Specialty Clinic LLC is located at 209 W Commercial Dr Ste E, Carterville, IL 62918. The listed phone number is (618) 684-7087.

What is Si Vitality Specialty Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Si Vitality Specialty Clinic LLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.