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

Vivacious Group Inc

Organization Primary Care Clinic/Center · NPI 1275702888

Vivacious Group Inc is a Primary Care Clinic/Center in Burr Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8S165 S Vine St
Burr Ridge, IL 60527-5541
Phone: (630) 835-7613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X (IL)

Record details

NPI number1275702888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anto Maliakkal — President · (630) 835-7613
NPI enumeratedFebruary 27, 2008
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address8s165 S Vine St, Burr Ridge, IL 60527-5541

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