Vituity - Illinois Auc LLP

NPI #1487142022 in O Fallon, Illinois

Provider Information

NPI Number: 1487142022
Entity Type: Organization
Organization Name: Vituity - Illinois Auc LLP
Primary Specialty: Emergency Medicine
Enumeration Date: Apr 30, 2018
Last Updated: Apr 7, 2020

Practice Location

Address: 1512 N GREEN MOUNT RD
City: O Fallon
State: Illinois
ZIP Code: 62269
Phone: (618) 624-3750

Authorized Official

Name: THEOPHILE KOURY, MD
Title: ADMINISTRATIVE VP OF OPERATIONS
Phone: (510) 350-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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