| Daniel W Vittum, MD | |
|
1800 Harlem Ave Ste A, North Riverside, IL 60546-1468 | |
| (708) 783-9800 | |
| (773) 780-9810 |
| Full Name | Daniel W Vittum |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1800 Harlem Ave Ste A, North Riverside, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164518320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036104765 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John H Stroger Jr Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cook County | 2860398088 | 698 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel W Vittum, MD 1800 Harlem Ave Ste A, North Riverside, IL 60546-1468 Ph: (708) 783-9800 | Daniel W Vittum, MD 1800 Harlem Ave Ste A, North Riverside, IL 60546-1468 Ph: (708) 783-9800 |
Sabrina Fanapour, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7503 W Cermak Rd, North Riverside, IL 60546 Phone: 708-442-0333 | |
Dr. Sariya Zain Siddiqi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7222 W Cermak Rd Ste 700, North Riverside, IL 60546 Phone: 708-660-6400 | |
Luis Antonio Osorio, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7503 W Cermak Rd, North Riverside, IL 60546 Phone: 708-484-6338 |