Individual
DOLORES ANN VITULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 CHILDRENS PLAZA BOX 21, CHILDRENS MEMORIAL HOSPITAL, CHICAGO, IL 60614
(773) 880-4553
(773) 880-8111
Mailing address
155 HARBOR DRIVE, UNIT 1702, CHICAGO, IL 60601
(312) 856-0980
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036047742
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047742
—
IL
Enumeration date
07/04/2006
Last updated
08/14/2007
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