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Individual

JESSICA A VITALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1600 W LAKE ST STE 106, ADDISON, IL 60101-1822
(630) 773-9410
(630) 773-9473
Mailing address
1600 W LAKE ST STE 106, ADDISON, IL 60101-1822
(630) 773-9410
(630) 773-9473

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-011816
IL

Other

Enumeration date
12/14/2023
Last updated
12/28/2023
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