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NPI Code Detail

MEDICARE: VITALITY HEALTH AND WELLNESS

MEDICARE: VITALITY HEALTH AND WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1649941766
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITALITY HEALTH AND WELLNESS
Provider Business Mailing Address
First Line : 6400 W COLLEGE DR STE 200
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1786
Country : US
Telephone Number : 708-577-4162
Fax Number :
Provider Business Practice Location Address
First Line : 6400 W COLLEGE DR STE 200
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1786
Country : US
Telephone Number : 708-577-4162
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RISHI KAPOOR
Credential : DC
Telephone Number : 708-577-4162
Provider Enumeration Date : 09/28/2021
Last Update Date : 04/06/2022

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Directions to “VITALITY HEALTH AND WELLNESS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.