OrganizationActive
Vida Medical Centers PLLC
NPI 1093413049 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1093413049
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jose Martinez, Authorized Official(815) 258-2115
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8101 S Cicero Ave
Chicago, IL 60652-2017
Phone: (773) 610-8505
Street-level locationGet directions
Mailing address
8101 S Cicero Ave
Chicago, IL 60652-2017
Additional practice locations (1)
- 2615 E Cass StJoliet, IL 60432-9761Phone: (815) 258-2115
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2023-04-18
- Certified
- 2023-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.