Organization · Type 2 NPI
Vitality Family Medical & Wellness PLLC
Family Nurse Practitioner · Bourbonnais, IL
NPI number
1902775984
Active
Practice location
232 Main St NW Ste 203
Bourbonnais, IL 60914-2186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Bourbonnais
About NPI 1902775984
Vitality Family Medical & Wellness PLLC's National Provider Identifier is 1902775984, issued on Oct 30, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bourbonnais, IL. The record was last updated on Jan 21, 2026.