| Vitality Health And Wellness | |
|
6400 W College Dr Ste 200 Palos Heights IL 60463-1786 | |
| (708) 577-4162 | |
| Not Available |
| Full Name | Vitality Health And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 6400 W College Dr Ste 200, Palos Heights, Illinois |
| Authorized Official Name and Position | Rishi Kapoor (OWNER) |
| Authorized Official Contact | 7085774162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Health And Wellness 6400 W College Dr Ste 200 Palos Heights IL 60463-1786 Ph: (708) 577-4162 | Vitality Health And Wellness 6400 W College Dr Ste 200 Palos Heights IL 60463-1786 Ph: (708) 577-4162 |
| NPI Number | 1649941766 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 04/06/2022 |
| Medicare PECOS PAC ID | 2961898762 |
|---|---|
| Medicare Enrollment ID | O20220404002014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649941766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Rishi Kapoor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689771503 PECOS PAC ID: 6709840085 Enrollment ID: I20041116000957 |
| Provider Name | Brooklyn Washington |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790020477 PECOS PAC ID: 9931348984 Enrollment ID: I20130624000265 |
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