| Vital Signs Wellness, Llc | |
|
744 Leslie Lane Schaumburg IL 60194 | |
| (855) 293-1448 | |
| Not Available |
| Full Name | Vital Signs Wellness, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 744 Leslie Lane, Schaumburg, Illinois |
| Authorized Official Name and Position | Melody Dizon (PRESIDENT) |
| Authorized Official Contact | 8474449038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Signs Wellness, Llc 744 Leslie Lane Schaumburg IL 60194 Ph: (855) 293-1448 | Vital Signs Wellness, Llc 744 Leslie Lane Schaumburg IL 60194 Ph: (855) 293-1448 |
| NPI Number | 1528538600 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 08/16/2021 |
| Medicare PECOS PAC ID | 4183958978 |
|---|---|
| Medicare Enrollment ID | O20220315002451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528538600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Daniel A Gutstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851316434 PECOS PAC ID: 2860452653 Enrollment ID: I20041015000507 |
| Provider Name | Olusoji A Peter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225018203 PECOS PAC ID: 2264514561 Enrollment ID: I20080726000013 |
| Provider Name | Gopal N Bhalala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669473963 PECOS PAC ID: 9739253030 Enrollment ID: I20080805000396 |
| Provider Name | Marcia Radja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164776670 PECOS PAC ID: 9335389113 Enrollment ID: I20130628000530 |
| Provider Name | Doran M Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053671479 PECOS PAC ID: 3375856537 Enrollment ID: I20150716001610 |
| Provider Name | Oluseun Osinowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548614431 PECOS PAC ID: 6507164803 Enrollment ID: I20160420001307 |
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