Kelly Amber Vitale
Internist Hospice and Palliative Medicine
251 E Huron St
Chicago
, Illinois 60611-2908
Kelly Amber Vitale
Internist Hospice and Palliative Medicine
251 E Huron St
Chicago
, Illinois 60611-2908
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Kelly Amber Vitale
- 251 E Huron St
- Chicago, IL
- Zip : 60611-2908
- Phone :
Second Address
- Kelly Amber Vitale
- 251 E Huron St
- Chicago, IL
- Zip : 60611-2908
- Phone : (312) 695-6939
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 275235 | MA |
| N | 111NI0900X | Internist | 275235 | MA |
| Y | 207RH0002X | Hospice and Palliative Medicine | 036156544 | IL |
National Provider Identifier
| NPI | 1205331162 |
|---|---|
| Provider Name | Kelly Amber Vitale |
| First Address | Chicago, IL 60611-2908 |
| Second Address | Chicago, IL 60611-2908 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2018 |
| Last Update Date | 07/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.