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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