Srs Men'S Vitality Hub

LBN: Srs Men'S Vitality Hub
Srs Men'S Vitality Hub is an health care organization with primary practice located at 7907 W 159Th St Unit C , Tinley Park IL 60477-1345. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Srs Men'S Vitality Hub can be contacted via phone (312) 872-8864, or through Lewis, Shannon Rose via phone (312) 437-0472.

Contact Information

Primary practice address
7907 W 159Th St Unit C Tinley Park IL 60477-1345
Phone: (312) 872-8864
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Shannon Rose Family Nurse Practitioner (FNP)
Phone: (312) 437-0472

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1194589432
LBN Legal business name Srs Men'S Vitality Hub
DBA Doing business as
Authorized official Lewis, Shannon Rose Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2024
Last updated Feb 7th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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