Vital Tree Physicals and Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VITAL TREE PHYSICALS AND WELLNESS LLC

Practice address

9786 Aberdeen LN
Huntley, IL 60142-2432

Phone

(630) 338-9014

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Rachelle Puno Flynn, FNP-BCNPI 1639526015

Title

Owner

Phone

(630) 338-9014

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachelle Puno Flynn, FNP-BC

  • Family Nurse Practitioner
  • Huntley, IL
  • NPI 1639526015
  NPD Authorized official

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1821815440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1055",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601421055",
            "telephone_number": "630-338-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9786 ABERDEEN LN",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422432",
            "telephone_number": "630-338-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL TREE PHYSICALS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "PUNO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-338-9014",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Vander Molen, PT
• Joseph E Vandyke
• Sahar Kim Vardy, APRN, CNP
• Brian Reid Vear, DC
• Neha Verma
• Vital Vibrant Health, Inc.
• Stephen Paul Vittetoe
• Marlene R Vogt, OTR
• Stephanie L Wagner, RDN, LDN
• Alicia Marie Waite, DO

• Primary Care Clinic/Center in Huntley, IL
• Providers in Huntley, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.