V Medical Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180-00295 Issued in IL

Legal business name

V MEDICAL INC

Practice address

114 Church St Ste 102
New Lenox, IL 60451-1881

Phone

(815) 462-3788

NPI assigned

Feb 26, 2008

Last updated

Feb 26, 2008By 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

Vera Mitrovich, LCPC

Title

President

Phone

(708) 532-7594

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1447429113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 ANDRES AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CHURCH ST STE 102",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511881",
            "telephone_number": "815-462-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MITROVICH",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-532-7594",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180-00295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.