Organization Active NPI

Healthy Life PCP, PLLC

  • Family Nurse Practitioner
  • Wheeling, IL
National Provider Identifier
1528704657
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTHY LIFE PCP, PLLC
Practice address
275 12TH St Ste 2D
Wheeling, IL 60090-2015
Phone
(847) 777-8887
NPI assigned
May 11, 2022
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Hanna Vintonyak, APRN
Title
Owner
Phone
(847) 777-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

275 12TH St Ste 2D
Wheeling, IL 60090-2015

Mailing address

275 12TH St Ste 2D
Wheeling, IL 60090-2015
Phone (847) 777-8887

National Provider Directory

National Provider Directory

Locations

275 12th St
Ste 2D
Wheeling, IL 60090
Phone (847) 777-8887

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1528704657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 12TH ST STE 2D",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902015",
            "telephone_number": "847-777-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 12TH ST STE 2D",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902015",
            "telephone_number": "847-777-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE PCP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "VINTONYAK",
        "authorized_official_first_name": "HANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-777-8887",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.