NPIMap

Organization Active NPI

Vitality Forever Healthcare P.C

Doing business as Vitality Urgent Care

  • Family Nurse Practitioner
  • Buffalo Grove, IL
National Provider Identifier
1396162392
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010709 Issued in IL
Legal business name
VITALITY FOREVER HEALTHCARE P.C
Doing business as
Vitality Urgent Care
Practice address
56 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone
(224) 601-5001
Fax
(224) 333-7063
NPI assigned
Mar 27, 2014
Last updated
Jun 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Authorized official

Name
Rodion LevinNPI 1982030649
Title
Provider
Phone
(224) 628-3643

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
Family Nurse Practitioner 363LF0000X 209010709 IL Primary

Addresses

Primary practice location

56 W Dundee Rd
Buffalo Grove, IL 60089-3758

Mailing address

56 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone (224) 601-5001

Other practice location 1

480 S Rand Rd
Lake Zurich, IL 60047-2359
Phone (224) 601-5001

Other names 2

  • Vitality Urgent Care Doing business as
  • VITALITY FOREVER HEALTHCARE P.C Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140506000441 IL Part B Supplier - Clinic/Group Practice 6608009253 Receives reassigned benefits from 9 practitioners
Practice locations: Buffalo Grove, IL

National Provider Directory

National Provider Directory

Locations

137 W Rand Rd
Arlington Heights, IL 60004

56 W Dundee Rd
Buffalo Grove, IL 60089
Phone (224) 601-5001

480 S Rand Rd
Lake Zurich, IL 60047
Phone (224) 601-5001

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750464000000",
    "number": "1396162392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893758",
            "telephone_number": "224-601-5001",
            "fax_number": "224-333-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893758",
            "telephone_number": "224-601-5001",
            "fax_number": "224-333-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 S Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600472359",
            "country_code": "US",
            "telephone_number": "224-601-5001",
            "fax_number": "224-333-7063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALITY FOREVER HEALTHCARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "RODION",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "224-628-3643"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VITALITY FOREVER HEALTHCARE P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.