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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