Vitamax Therapy Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

070006325 Issued in IL

Legal business name

VITAMAX THERAPY INC

Practice address

318 W Half Day Rd
# 320
Buffalo Grove, IL 60089-6547

Phone

(847) 361-9155

NPI assigned

Jan 11, 2012

Last updated

Jan 11, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria Guralnik, PTNPI 1851512487

Title

Owner

Phone

(847) 361-9155

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Guralnik, L.P.T.

  • Physical Therapist
  • Buffalo Grove, IL
  • NPI 1851512487
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1124398862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W HALF DAY RD",
            "address_2": "# 320",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W HALF DAY RD",
            "address_2": "# 320",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896547",
            "telephone_number": "847-361-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAMAX THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "GURALNIK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-361-9155",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070006325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070006325",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Village of Buffalo Grove (Buffalo Grove Fire Department)
• Jasmin Villalpando
• Lena Virasch, D.O.
• Vitality Forever Healthcare P.C (Vitality Urgent Care)
• Vitality Urgent Care Services
• Taylor Anne Vorel
• Chuck Richard Vrasich, MD
• Scott Vukovich, DDS
• Crystal Jones Wadyal, MD
• Scott Wahler, BS, CADC

• Physical Medicine & Rehabilitation Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.