NPIMap

Organization Active NPI

Vital Signs Wellness, LLC

  • Family Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1528538600
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VITAL SIGNS WELLNESS, LLC
Practice address
744 Leslie Lane
Schaumburg, IL 60194
Phone
(855) 293-1448
NPI assigned
Nov 30, 2018
Last updated
Aug 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Melody DizonNPI 1518526797
Title
President
Phone
(847) 444-9038

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

744 Leslie Lane
Schaumburg, IL 60194

Mailing address

744 Leslie Lane
Schaumburg, IL 60194
Phone (855) 293-1448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, CA, IN, HI5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20220315002451 IL Part B Supplier - Clinic/Group Practice 4183958978 Receives reassigned benefits from 7 practitioners
Practice locations: Schaumburg, IL
O20240530003609 WI Part B Supplier - Clinic/Group Practice 4183958978 Receives reassigned benefits from 1 practitioner
Practice locations: Kenosha, WI
O20240827003141 CA Part B Supplier - Clinic/Group Practice 4183958978 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA
O20250227000559 IN Part B Supplier - Clinic/Group Practice 4183958978 Receives reassigned benefits from 1 practitioner
Practice locations: Granger, IN
O20251007003725 HI Part B Supplier - Clinic/Group Practice 4183958978 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

6123 Green Bay Rd
Ste 120
Kenosha, WI 53142
Phone (262) 358-2954

Practitioners & affiliated clinicians

Practitioners 12

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": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1528538600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 LESLIE LANE",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60194",
            "telephone_number": "855-293-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 LESLIE LANE",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60194",
            "telephone_number": "855-293-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SIGNS WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-444-9038"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.