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Individual

CHRISTOPHER VITTORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Mailing address
2990 N PERRYVILLE RD UNIT 4128B, ROCKFORD, IL 61107-6827
(866) 421-8808

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36093358
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036093558
IL
Enumeration date
04/27/2006
Last updated
06/01/2020
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