Provider Demographics
NPI:1972263978
Name:VERTICAL FAMILY HEALTHCARE
Entity Type:Organization
Organization Name:VERTICAL FAMILY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:MOLS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:815-757-3357
Mailing Address - Street 1:503 SURREY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-2397
Mailing Address - Country:US
Mailing Address - Phone:815-757-3357
Mailing Address - Fax:
Practice Address - Street 1:503 SURREY WOODS DR
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2397
Practice Address - Country:US
Practice Address - Phone:815-757-3357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-19
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty