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General NPI Number Information
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NPI Number | 1780521740
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Entity Type | Organization
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Legal Business Name | VAIN ESTETICA & WELL-BEING PLLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 1708 METCALF LN
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City | SHOREWOOD
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State | IL
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Zip | 60404-1232
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Country | US
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Telephone | 708-372-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 1708 METCALF LN
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City | SHOREWOOD
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State | IL
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Zip | 60404-1232
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Country | US
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Telephone | 708-372-0007
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/MANAGER
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Name | MRS. TIFFANY J KALITA
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Credential | APRN, FPA, FNP-BC
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Telephone | 309-242-0013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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