Organization · Type 2 NPI
Vivant Aesthetics and Wellness
Adult Health Nurse Practitioner · Itasca, IL
NPI number
1285570028
Active
Practice location
127 N Walnut St Ste 105
Itasca, IL 60143-1768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1285570028
Vivant Aesthetics and Wellness's National Provider Identifier is 1285570028, issued on Apr 24, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Itasca, IL. The record was last updated on Apr 24, 2026.