NPIMap

Organization Active NPI

Vida Health Spa LLC

  • Clinic/Center
  • Bloomingdale, IL
National Provider Identifier
1609571926
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VIDA HEALTH SPA LLC
Practice address
215 E Lake St Ste a
Bloomingdale, IL 60108-1163
Phone
(773) 996-3977
NPI assigned
Apr 4, 2023
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Marc CalabriaNPI 1871293712
Title
President
Phone
(708) 369-6272

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

215 E Lake St Ste a
Bloomingdale, IL 60108-1163

Mailing address

215 E Lake St Ste a
Bloomingdale, IL 60108-1163
Phone (773) 996-3977

National Provider Directory

National Provider Directory

Locations

215 E Lake St
Ste A
Bloomingdale, IL 60108
Phone (708) 369-6272

Practitioners & affiliated clinicians

Practitioners 1

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": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1609571926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E LAKE ST STE A",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081163",
            "telephone_number": "773-996-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E LAKE ST STE A",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081163",
            "telephone_number": "773-996-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA HEALTH SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "CALABRIA",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-369-6272"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.