Individual
JOSEPH M. VITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
840 S WOOD ST, 435 CSB, MC 958, CHICAGO, IL 60612-4325
(312) 355-1493
(312) 355-1987
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036065612
IL
2086S0102X
Surgical Critical Care Physician
036065612
IL
2086S0127X
Trauma Surgery Physician
036065612
IL
Other
Enumeration date
09/16/2006
Last updated
08/22/2008
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