# VITAL FAMILY HEALTHCARE LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinic of Belvidere, Clinic of South Elgin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417647066
- **Authorized official:** JACLYN NEWHART (MANAGER)
- **Authorized official phone:** (815) 482-6365

## Contact information

- **Practice address:** 1004 LOGAN AVE, BELVIDERE, IL 61008
- **Practice address phone:** (815) 482-6365
- **Mailing address:** 1004 LOGAN AVE, BELVIDERE, IL 61008-3955
- **Mailing address phone:** (815) 482-6365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/08/2023
- **Last updated:** 04/12/2026