Vitalcare Medical SC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036121232 Issued in IL

Legal business name

VITALCARE MEDICAL SC

Practice address

1146 S Waukegan Rd
Waukegan, IL 60085-6731

Phone

(224) 927-9199

Fax

(866) 239-8451

NPI assigned

Mar 22, 2010

Last updated

Mar 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rashid Nadeem

Title

President

Phone

(847) 830-1909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1811211774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 S WAUKEGAN RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856731",
            "telephone_number": "224-927-9199",
            "fax_number": "866-239-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 S WAUKEGAN RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856731",
            "telephone_number": "224-927-9199",
            "fax_number": "866-239-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCARE MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "NADEEM",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-830-1909"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036121232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Clinic Corporation
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• Vista Health System
• Vista Imaging Associates SC
• Mia Vongillern
• Victoria Wagner
• Hiba Waheed
• Wal-Mart Stores, Inc. Dba Wal-Mart (Vision Center 3891)
• Walgreen Co (Walgreens #03749)

• Pulmonary Disease Physician in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.