Individual
MR. NATHANAEL VITKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 PEARL ST, AURORA, IL 60505-4519
(630) 966-4491
Mailing address
1230 PEARL ST, AURORA, IL 60505-4519
(630) 966-4491
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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