Individual
MS. GLORIA WITTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2525 S MICHIGAN AVE, 4TH FLOOR, CHICAGO, IL 60616-2333
(312) 567-2448
(312) 567-6169
Mailing address
2525 S MICHIGAN AVE, 4TH FLOOR, CHICAGO, IL 60616-2333
(312) 567-2448
(312) 567-6169
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
041284590
IL
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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