Organization
VITALMARK DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURISSE PEPINO (ADMINISTRATOR)
(708) 576-1191
Entity
Organization
Contact information
Practice address
2720 S RIVER RD, SUITE #4, DES PLAINES, IL 60018
(708) 576-1191
Mailing address
5711 EMERSON, MORTON GROVE, IL 60053
(708) 576-1191
(207) 857-5127
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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