Organization
VITAL FLOW VITALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA J HENDERSON REGISTERED NURSE (OWNER)
(312) 761-2111
Entity
Organization
Contact information
Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(312) 761-2111
Mailing address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(312) 761-2111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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