Individual
DR. CHRISTOPHER MICHAEL VITTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
15750 S BELL RD, SUITE 2E, HOMER GLEN, IL 60491-8412
(708) 301-4443
(708) 301-4413
Mailing address
15750 S BELL RD, SUITE 2E, HOMER GLEN, IL 60491-8412
(708) 301-4443
(708) 301-4413
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005195
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635273
BCBS
IL
05
—
016005195
—
IL
01
—
1633823
BCBS
IL
01
—
P00247809
RAILROAD MEDICARE
IL
01
—
P00411493
RAILROAD MEDICARE
IL
Enumeration date
06/11/2006
Last updated
02/03/2009
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