Viva Advanced Healthcare Illinois

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VIVA ADVANCED HEALTHCARE ILLINOIS

Practice address

6230 N Kenmore Ave
Chicago, IL 60660-2167

Phone

(414) 467-8884

Fax

(414) 435-3126

NPI assigned

Nov 29, 2018

Organization subpart

No

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

Authorized official

Name

Karina Chelsky

Title

Administrator

Phone

(414) 467-8884

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1417427766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 N KENMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602167",
            "telephone_number": "414-467-8884",
            "fax_number": "414-435-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 N KENMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602167",
            "telephone_number": "414-467-8884",
            "fax_number": "414-435-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA ADVANCED HEALTHCARE ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "CHELSKY",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-467-8884"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas John Vittoria, ALMFT
• Haley Vitucci
• Dolores Ann Vitullo, MD
• Marguerite C. Vitulski, APN-CNP
• Serena Viturawong, MD
• Viva Smile Dental PLLC
• Julie L Vivanco, FNP-BC
• Paulina Vivanco, COTA/L
• Vivant Counseling & Psychotherapy, PLLC
• Karina La'O Vivar, MD

• Multi-Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.