Individual
JOSEPH J. VITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 HARRISON ST, BELLWOOD, IL 60104-2450
(708) 493-0199
(708) 493-9683
Mailing address
2615 HARRISON ST, BELLWOOD, IL 60104-2450
(708) 493-0199
(708) 493-9683
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
500493344
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500493344
LICENSE
IL
Enumeration date
02/01/2010
Last updated
02/01/2010
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