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NPI Code Detail

MEDICARE: WILLIAM A VITELLO MD

MEDICARE:   WILLIAM A VITELLO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery Physician36116687IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790878981
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM A VITELLO MD
Provider Business Mailing Address
First Line : 3000 N HALSTED ST STE 525
Second Line :
City : CHICAGO
State : IL
Zip : 60657-9269
Country : US
Telephone Number : 773-433-3130
Fax Number : 773-433-3127
Provider Business Practice Location Address
First Line : 3000 N HALSTED ST STE 525
Second Line :
City : CHICAGO
State : IL
Zip : 60657-9269
Country : US
Telephone Number : 773-433-3130
Fax Number : 773-433-3127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 12/28/2021

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Directions to “ WILLIAM A VITELLO MD” Practice Location

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