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Organization
VITAL FAMILY HEALTHCARE LLC.
Active
Organization
VITAL FAMILY HEALTHCARE LLC.
Active
Other names
Clinic of Belvidere, Clinic of South Elgin
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN NEWHART (MANAGER)
(815) 482-6365
Entity
Organization
Contact information
Practice address
1004 LOGAN AVE, BELVIDERE, IL 61008
(815) 482-6365
Mailing address
1004 LOGAN AVE, BELVIDERE, IL 61008-3955
(815) 482-6365
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/08/2023
Last updated
04/12/2026
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