Provider Demographics
NPI:1164234746
Name:VITALITY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:VITALITY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:VOSTERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-921-9684
Mailing Address - Street 1:2311 N RINGWOOD RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-1327
Mailing Address - Country:US
Mailing Address - Phone:224-241-7613
Mailing Address - Fax:
Practice Address - Street 1:2311 N RINGWOOD RD UNIT 101
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-1327
Practice Address - Country:US
Practice Address - Phone:224-241-7613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty