Organization
VITAE HEALTH MEDICAL MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHAK FREUND (CHIEF OPERATING OFFICER)
(224) 777-8045
Entity
Organization
Contact information
Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
Mailing address
415 W GOLF RD STE 26, ARLINGTON HEIGHTS, IL 60005-3923
(224) 777-8034
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
03/25/2025
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