Healthcare Provider Details

I. General information

NPI: 1811520810
Provider Name (Legal Business Name): THE VITALITY GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2020
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S RIVERSIDE PLZ STE 400
CHICAGO IL
60606-3908
US

IV. Provider business mailing address

120 S RIVERSIDE PLZ STE 400
CHICAGO IL
60606-3908
US

V. Phone/Fax

Practice location:
  • Phone: 312-224-7100
  • Fax:
Mailing address:
  • Phone: 312-224-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MARK JUDE ZAPPONE
Title or Position: VICE PRESIDENT OF COACHING OPERATIO
Credential:
Phone: 860-550-4197