Healthcare Provider Details
I. General information
NPI: 1184469181
Provider Name (Legal Business Name): VIGEO CARE CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2024
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1442 MERCHANT DR
ALGONQUIN IL
60102-5917
US
IV. Provider business mailing address
1449 MERCHANT DR
ALGONQUIN IL
60102-5917
US
V. Phone/Fax
- Phone: 224-241-8427
- Fax: 815-242-4469
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PRITI
PATEL
Title or Position: MANAGER
Credential:
Phone: 469-360-3304