Si Vitality Specialty Clinic LLC
NPI #1760286413 in Carterville, Illinois
Provider Information
- NPI Number
- 1760286413
- Entity Type
- Organization
- Organization Name
- Si Vitality Specialty Clinic LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Apr 2, 2025
- Last Updated
- Apr 2, 2025
Practice Location
- Address
- 209 W COMMERCIAL DR STE E
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-2057
- Phone
- (618) 684-7087
Authorized Official
- Name
- SAMANTHA CHRISTOPHER
- Title
- APRN, FOUNDER
- Phone
- (618) 684-7087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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