Individual
KIMBERLY A VITTORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNM
Contact information
Practice address
25 N HARLEM AVE, FREEPORT, IL 61032-3801
(815) 599-7750
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4030
(815) 599-7959
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
041216079
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209001942
APN
IL
Enumeration date
07/24/2006
Last updated
02/14/2012
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