Srs Men's Vitality Hub
NPI #1194589432 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1194589432
- Entity Type
- Organization
- Organization Name
- Srs Men's Vitality Hub
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 7, 2024
- Last Updated
- Feb 7, 2024
Practice Location
- Address
- 7907 W 159TH ST UNIT C
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-1345
- Phone
- (312) 872-8864
Authorized Official
- Name
- SHANNON ROSE LEWIS, FNP
- Title
- PROVIDER, OWNER
- Phone
- (312) 437-0472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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