Jessica A Vitale, OD

NPI #1164290516 in Addison, Illinois

Provider Information

NPI Number: 1164290516
Entity Type: Individual
Name: Jessica A Vitale, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 14, 2023
Last Updated: Dec 28, 2023

Practice Location

Address: 1600 W LAKE ST STE 106
City: Addison
State: Illinois
ZIP Code: 60101-1822
Phone: (630) 773-9410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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