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Organization

VITAE HEALTH MEDICAL SOUTH CAROLINA LLC

Active
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Organization

VITAE HEALTH MEDICAL SOUTH CAROLINA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YITZCHAK FREUND (CHIEF OPERATING OFFICER)
(224) 777-8045
Entity
Organization

Contact information

Practice address
1703 LAUREL ST, COLUMBIA, SC 29201-2660
(224) 777-8034
Mailing address
415 W GOLF RD STE 26, ARLINGTON HEIGHTS, IL 60005-3923
(224) 777-8034
(224) 236-4900

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—

Other

Enumeration date
04/14/2020
Last updated
03/25/2025
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