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
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/08/2023
Last updated
04/12/2026
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