Active NPI
Vitae Health Medical Missouri LLC
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1720726748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VITAE HEALTH MEDICAL MISSOURI LLC
- Practice address
- 3625 Magnolia Ave
Saint Louis, MO 63110-4048 - Phone
- (314) 771-2990
- NPI assigned
- May 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitzchak Freund
- Title
- Chief Operating Officer
- Phone
- (224) 777-8045
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3625 Magnolia Ave
Saint Louis, MO 63110-4048
Mailing address
415 W Golf Rd Ste 26
Arlington Heights, IL 60005-3923
Phone (224) 777-8034
National Provider Directory
National Provider DirectoryLocations
3625 Magnolia Ave
#H
Saint Louis, MO 63110
Phone (314) 771-2990
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Norridge, IL
- NPI 1457502619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1720726748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W GOLF RD STE 26",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053923",
"telephone_number": "224-777-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 MAGNOLIA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631104048",
"telephone_number": "314-771-2990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAE HEALTH MEDICAL MISSOURI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-20",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "FREUND",
"authorized_official_first_name": "YITZCHAK",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "224-777-8045"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.