Healthcare Provider Details

I. General information

NPI: 1518679331
Provider Name (Legal Business Name): VIRTUAL PHYSICIAN ASSOCIATES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2022
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ESSINGTON RD
JOLIET IL
60435-2841
US

IV. Provider business mailing address

1000 ESSINGTON RD
JOLIET IL
60435-2841
US

V. Phone/Fax

Practice location:
  • Phone: 312-883-0930
  • Fax: 312-724-5823
Mailing address:
  • Phone: 312-883-0930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIRIAM SCHNEIDER
Title or Position: GENERAL COUNSEL
Credential:
Phone: 847-863-2788