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1073340030
VITALITY MEDICAL CARE LLC
MOUNT PROSPECT, IL
NPI
1073340030
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Entity Type
Organization
Authorized Contact
MICHAEL CASTANEDA
Owner
847-910-6059
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
VITALITY MEDICAL CARE LLC
1754 E TANO LN
MOUNT PROSPECT, IL 60056-1718
Phone number: 847-910-6059
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Mailing Address
VITALITY MEDICAL CARE LLC
1754 E TANO LN
MOUNT PROSPECT, IL 60056-1718
Phone number: 847-910-6059
Copy
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