# VITAL LINK PHYSICIAN GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vital Link Physician Group PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679311336
- **Authorized official:** EMANUEL ATKIN (MANAGEMENT)
- **Authorized official phone:** (212) 734-6621

## Contact information

- **Practice address:** 6201 W HOWARD ST, NILES, IL 60714-3436
- **Practice address phone:** (847) 774-7316
- **Mailing address:** 6201 W HOWARD ST, NILES, IL 60714-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2024
- **Last updated:** 06/19/2026