Organization
VITALITY HOME THERAPIES, INC.
Active
Other names
Vitality Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ROBERT WILSON RN, BSN (FOUNDER, PRESIDENT)
(630) 615-0668
Entity
Organization
Contact information
Practice address
33 W HIGGINS RD STE 4100, SOUTH BARRINGTON, IL 60010-9123
(630) 615-0668
Mailing address
1815 WALLACE AVE STE 304, SAINT CHARLES, IL 60174-3421
(630) 615-0668
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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