# VITUCCI LCSW, PC

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

## Provider details

- **NPI number:** 1942826144
- **Authorized official:** MRS. KIMBERLY MANN (CREDENTIALING BILLING MANAGER)
- **Authorized official phone:** (901) 422-7608

## Contact information

- **Practice address:** ONE WESTBROOK COPORATE CTR, SUITE 300, WESTCHESTER, IL 60154
- **Practice address phone:** (866) 949-0108
- **Mailing address:** 50 S B B KING BLVD, MEMPHIS, TN 38103-2626
- **Mailing address phone:** (901) 422-7644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2020
- **Last updated:** 12/27/2021