Individual
KATHRYN VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, AGCNS-BC
Contact information
Practice address
800 N WESTMORELAND RD, LAKE FOREST, IL 60045-1673
(847) 234-5600
Mailing address
881 BELMAR LN, BUFFALO GROVE, IL 60089-1311
(847) 922-4935
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209.018304
IL
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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