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Individual

MELISSA VITALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3033 N CLARK ST, CHICAGO, IL 60657-5205
(773) 527-6558
(612) 500-4814
Mailing address
3033 N CLARK ST, CHICAGO, IL 60657-5205
(773) 527-6558

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
00000000
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041419664
RN LICENSE
IL
01
277001533
IL APN LICENSE FPA
IL
Enumeration date
02/19/2019
Last updated
05/01/2025
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