Organization
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Active
Organization
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Active
Other names
West Town N.H.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL VITTUM (MEDICAL DIRECTOR)
(312) 744-7448
Entity
Organization
Contact information
Practice address
2418 W DIVISION ST, CHICAGO, IL 60622-2940
(312) 744-7448
(312) 744-5516
Mailing address
3519 W WRIGHTWOOD AVE, CHICAGO, IL 60647-1248
(773) 395-9314
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
IL
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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