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Organization

VITO PATHWAYS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AL E BERRY (MANAGER)
(469) 343-4422
Entity
Organization

Contact information

Practice address
555 WILSON LN, DES PLAINES, IL 60016-4729
(469) 343-4422
Mailing address
555 WILSON LN, DES PLAINES, IL 60016-4729

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/15/2025
Last updated
06/09/2025
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