| Vital Tree Physicals and Wellness LLC | |
|
9786 Aberdeen Ln Huntley IL 60142-2432 | |
| (630) 338-9014 | |
| Not Available |
| Full Name | Vital Tree Physicals and Wellness LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9786 Aberdeen Ln, Huntley, Illinois |
| Authorized Official Name and Position | Rachelle Puno Flynn (OWNER) |
| Authorized Official Contact | 6303389014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Tree Physicals and Wellness LLC Po Box 1055 Huntley IL 60142-1055 Ph: (630) 338-9014 | Vital Tree Physicals and Wellness LLC 9786 Aberdeen Ln Huntley IL 60142-2432 Ph: (630) 338-9014 |
| NPI Number | 1821815440 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821815440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
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