Individual
DR. VANESSA L PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-2828
Mailing address
1228 PANTHER CREEK RD, EL PASO, IL 61738-9314
(309) 261-2296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036066740
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066740-1
—
IL
01
—
05721369
BC/BS
IL
Enumeration date
06/26/2006
Last updated
01/15/2025
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