# VITAE HEALTH MEDICAL SOUTH CAROLINA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528687126
- **Authorized official:** YITZCHAK FREUND (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (224) 777-8045

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 03/25/2025