MEDICARE: MELISSA VITALE PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	00000000	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	041419664	OTHER	IL	RN LICENSE
2	277001533	OTHER	IL	IL APN LICENSE FPA

General Provider Information

NPI Number	:	1952867681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA VITALE PMHNP

Provider Business Mailing Address
First Line	:	3033 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5205
Country	:	US
Telephone Number	:	773-527-6558
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5205
Country	:	US
Telephone Number	:	773-527-6558
Fax Number	:	612-500-4814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2019
Last Update Date	:	05/01/2025

Similar Medicare Providers

1578333837 — DIXON KURZ MA
Practice Location Address:

3033 N CLARK ST
CHICAGO, IL
60657-5205

Practice Phone: 804-551-9639
Practice Fax:

1760770622 — SARAH MCELDOWNEY PT
Practice Location Address:

3011 N CLARK ST
CHICAGO, IL
60657-5205

Practice Phone: 773-661-0240
Practice Fax:

1154746840 — MR. JAMES HAYES LCSW
Practice Location Address:

3033 N CLARK ST
CHICAGO, IL
60657-5205

Practice Phone: 978-727-4449
Practice Fax:

1558995910 — JAMES HAYES LCSW INC.
Practice Location Address:

3033 N CLARK ST
CHICAGO, IL
60657-5205

Practice Phone: 978-727-4449
Practice Fax:

1013509314 — ALEXIS BARKIN
Practice Location Address:

3033 N CLARK ST
CHICAGO, IL
60657-5205

Practice Phone: 248-303-6562
Practice Fax:

1861102121 — JONATHAN CHUNG DPT
Practice Location Address:

3011 N CLARK ST
CHICAGO, IL
60657-5205

Practice Phone: 773-661-0240
Practice Fax: 773-289-1541

Directions to “ MELISSA VITALE PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.