Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vandalia Estates, LLC

Organization Point of Service · NPI 1013113687

Vandalia Estates, LLC is a Point of Service in Vandalia, Illinois. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1607 W Fillmore St
Vandalia, IL 62471-3112
Phone: (618) 283-9825
Fax: (618) 283-9926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X

Record details

NPI number1013113687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Holtz — Controller · (541) 747-3373
NPI enumeratedJune 21, 2007
Last updated in NPPESMay 14, 2008
Mailing address78 Centennial Loop, Eugene, OR 97401-7900

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