Healthcare Provider Details

I. General information

NPI: 1841794237
Provider Name (Legal Business Name): VSH HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19710 GOVERNORS HWY STE 1
FLOSSMOOR IL
60422-2081
US

IV. Provider business mailing address

19710 GOVERNORS HWY STE 1
FLOSSMOOR IL
60422-2081
US

V. Phone/Fax

Practice location:
  • Phone: 708-888-2231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VELISCIA HODGES
Title or Position: OWNER
Credential: APN, FNP-C
Phone: 708-785-0178