Vital Family Healthcare LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VITAL FAMILY HEALTHCARE LLC.

Doing business as

Clinic of Belvidere
Clinic of South Elgin

Practice address

1004 Logan Ave
Belvidere, IL 61008

Phone

(815) 482-6365

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Jaclyn Newhart

Title

Manager

Phone

(815) 482-6365

Specialties & licenses 2

Addresses

Other names 2

• Clinic of Belvidere Doing business as
• Clinic of South Elgin Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Kyla Lee Massimb, FNP-BC

  • Family Nurse Practitioner
  • South Elgin, IL
  • NPI 1548013360
  Medicare reassignment Care Compare group NPD
• Eileen A Solis, FNP-BC

  • Primary Care Nurse Practitioner
  • Belvidere, IL
  • NPI 1699277038
  Medicare reassignment Care Compare group NPD
• Ferdinand Catotal, FNP

  • Family Nurse Practitioner
  • Elgin, IL
  • NPI 1538681572

  Single Specialty

  Medicare reassignment NPD
• Shin Chen, MD

  • Family Medicine Physician
  • Belvidere, IL
  • NPI 1437139896
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775952000000",
    "number": "1417647066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 LOGAN AVE",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083955",
            "telephone_number": "815-482-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 LOGAN AVE",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "61008",
            "telephone_number": "815-482-6365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Woodbury St",
            "address_purpose": "LOCATION",
            "city": "South Elgin",
            "state": "IL",
            "postal_code": "601771327",
            "country_code": "US",
            "telephone_number": "224-238-8252",
            "fax_number": "815-604-8076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL FAMILY HEALTHCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "NEWHART",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-482-6365"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic of Belvidere",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinic of Belvidere",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinic of South Elgin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Himanshi C Thakkar, D.D.S.
• Cindy E Thurow, PPA
• Kaleena C Tolsma, SLP
• Twinkle Toes, Inc
• Ultrasound of Belvidere LLC
• Ashley Vogrinc
• Wal-Mart Stores, Inc (Vision Center 30-3597)
• Walgreen Co (Walgreens #04150)
• Walgreen Co./Ill.
• Walmart Inc.

• Clinic/Center in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.