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General NPI Number Information
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NPI Number | 1235021528
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Entity Type | Organization
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Legal Business Name | VITAHEAL AND WELLNESS LLC
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Dates
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Enumeration Date | 07/19/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 1606 W COLONIAL PKWY
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City | INVERNESS
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State | IL
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Zip | 60067-4738
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Country | US
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Telephone | 224-935-7879
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Fax | 630-566-4869
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Provider Business Mailing Address
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Address Line | 1606 W COLONIAL PKWY
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City | INVERNESS
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State | IL
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Zip | 60067-4738
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Country | US
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Telephone | 224-935-7879
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Fax | 630-566-4869
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Authorized Official
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Title or Position | CEO
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Name | MARIFE S ABISTADO
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Credential | FNP-C
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Telephone | 773-260-2922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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