| Organization Name: | V MEDICAL INC |
| NPI Number: | 1164691838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VERA MITROVICH (PRESIDENT) |
| Mailing Address: | 10062 W 190th Pl Suite 201 Mokena |
| State: | IL US |
| Postal Code: | 604488753 |
| Phone Number: | 7089037852 |
| Fax Number: | 7085324586 |
| NPI Enumeration Date: | 02/26/2008 |
| NPI Last Update Date: | 09/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180-002952 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |