NPIMap

Organization Active NPI

Vital Link Physician Group PLLC

  • Family Medicine Physician
  • Niles, IL
National Provider Identifier
1679311336
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VITAL LINK PHYSICIAN GROUP PLLC
Doing business as
Vital Link Physician Group PLLC
Practice address
6201 W Howard St
Niles, IL 60714-3436
Phone
(847) 774-7316
NPI assigned
Jul 17, 2024
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Emanuel Atkin
Title
Management
Phone
(212) 734-6621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

6201 W Howard St
Niles, IL 60714-3436

Mailing address

6201 W Howard St
Niles, IL 60714-3436

Other names 1

  • Vital Link Physician Group PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010000945 IL Part B Supplier - Clinic/Group Practice 5294267621 Receives reassigned benefits from 11 practitioners
Practice locations: Niles, IL

National Provider Directory

National Provider Directory

Locations

7548 Saint Louis Ave
Skokie, IL 60076

Practitioners & affiliated clinicians

Practitioners 11

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": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1679311336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W HOWARD ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W HOWARD ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143436",
            "telephone_number": "847-774-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINK PHYSICIAN GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "212-734-6621"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Link Physician Group PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Link Physician Group PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.