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Organization

SI VITALITY SPECIALTY CLINIC LLC

Active
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Organization

SI VITALITY SPECIALTY CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA CHRISTOPHER (APRN, FOUNDER)
(618) 684-7087
Entity
Organization

Contact information

Practice address
209 W COMMERCIAL DR STE E, CARTERVILLE, IL 62918-2057
(618) 684-7087
(618) 822-4045
Mailing address
209 W COMMERCIAL DR STE E, CARTERVILLE, IL 62918-2057
(618) 684-7087
(618) 822-4045

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
04/02/2025
Last updated
04/02/2025
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