Provider Demographics
NPI:1235021528
Name:VITAHEAL AND WELLNESS LLC
Entity type:Organization
Organization Name:VITAHEAL AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIFE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ABISTADO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:773-260-2922
Mailing Address - Street 1:1606 W COLONIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:IL
Mailing Address - Zip Code:60067-4738
Mailing Address - Country:US
Mailing Address - Phone:224-935-7879
Mailing Address - Fax:630-566-4869
Practice Address - Street 1:1606 W COLONIAL PKWY
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60067-4738
Practice Address - Country:US
Practice Address - Phone:224-935-7879
Practice Address - Fax:630-566-4869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-19
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health