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

Vitality Family Medical & Wellness PLLC

Organization Family Nurse Practitioner · NPI 1902775984

Vitality Family Medical & Wellness PLLC is a Family Nurse Practitioner in Bourbonnais, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

232 Main St NW Ste 203
Bourbonnais, IL 60914-2186
Phone: (815) 954-0136
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1902775984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Smartt — Ao · (717) 504-3090
NPI enumeratedOctober 30, 2025
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address232 Main St Nw Ste 203, Bourbonnais, IL 60914-2186

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