Vital Vibrant Health, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.000837 Issued in IL

Legal business name

VITAL VIBRANT HEALTH, INC.

Practice address

11608 Dean St
Suite 203
Huntley, IL 60142-9654

Phone

(773) 366-2692

NPI assigned

Jan 22, 2014

Last updated

Jan 22, 2014By 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

Juliann Maria Domagalski, L.AC.NPI 1013389394

Title

President

Phone

(773) 366-2692

Specialties & licenses 2

Addresses

Locations

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.

• Juliann Domagalski, L.AC.

  • Acupuncturist
  • Huntley, IL
  • NPI 1013389394
  NPD (past) Authorized official

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1215350558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11608 DEAN ST",
            "address_2": "SUITE 203",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429654",
            "telephone_number": "773-366-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11608 DEAN ST",
            "address_2": "SUITE 203",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429654",
            "telephone_number": "773-366-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL VIBRANT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "DOMAGALSKI",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-366-2692",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000837",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "227.016464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E Vandyke
• Sahar Kim Vardy, APRN, CNP
• Brian Reid Vear, DC
• Neha Verma
• Vital Tree Physicals and Wellness LLC
• Stephen Paul Vittetoe
• Marlene R Vogt, OTR
• Stephanie L Wagner, RDN, LDN
• Alicia Marie Waite, DO
• Wal-Mart Stores, Inc (Walmart Vision Center 30-4641)

• Acupuncturist in Huntley, IL
• Providers in Huntley, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.