Organization Active NPI

Vivant Aesthetics and Wellness

  • Adult Health Nurse Practitioner
  • Itasca, IL
National Provider Identifier
1285570028
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
VIVANT AESTHETICS AND WELLNESS
Practice address
127 N Walnut St Ste 105
Itasca, IL 60143-1768
Phone
(630) 415-0550
NPI assigned
Apr 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Jessica Setlak, APRNNPI 1942658927
Title
Full Practice Authority Aprn
Phone
(630) 415-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

127 N Walnut St Ste 105
Itasca, IL 60143-1768

Mailing address

127 N Walnut St Ste 105
Itasca, IL 60143-1768
Phone (630) 415-0550

National Provider Directory

National Provider Directory

Locations

127 N Walnut St
Ste 105
Itasca, IL 60143
Phone (630) 415-0550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1285570028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N WALNUT ST STE 105",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431768",
            "telephone_number": "630-415-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N WALNUT ST STE 105",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431768",
            "telephone_number": "630-415-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVANT AESTHETICS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "SETLAK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "FULL PRACTICE AUTHORITY APRN",
        "authorized_official_telephone_number": "630-415-0550",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Itasca, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.