Vital Medical Network

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VITAL MEDICAL NETWORK

Practice address

17 W Grand Ave
Chicago, IL 60654-4844

Phone

(312) 462-4081

Fax

(312) 276-4064

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Ed Bauer

Title

Partner

Phone

(312) 560-6151

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1124586151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734116",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734116",
            "telephone_number": "312-462-4081",
            "fax_number": "312-276-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544844",
            "telephone_number": "312-462-4081",
            "fax_number": "312-276-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-560-6151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "203.002039",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vital Flow Vitality LLC
• Vital Health Integrative Chiropractic Center
• Vital Healthcare, LLC.
• Vital Labs Inc
• Vital Measurements, Inc.
• Vital Medical Supplies Inc
• Vital Products, Inc
• Vital Rehabilitation
• Vital Rehabilitation & Industrial Therapy
• Vital Rehabilitation Assoc Inc

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.