Dolores Ann Vitullo, MD | |
2300 Childrens Plaza Box 21, Childrens Memorial Hospital, Chicago, IL 60614 | |
(773) 880-4553 | |
(773) 880-8111 |
Full Name | Dolores Ann Vitullo |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 2300 Childrens Plaza Box 21, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639109663 | NPI | - | NPPES |
036047742 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 036047742 (Illinois) | Primary |
Entity Name | Pediatric Faculty Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
Mailing Address | Practice Location Address |
---|---|
Dolores Ann Vitullo, MD 155 Harbor Drive, Unit 1702, Chicago, IL 60601 Ph: (312) 856-0980 | Dolores Ann Vitullo, MD 2300 Childrens Plaza Box 21, Childrens Memorial Hospital, Chicago, IL 60614 Ph: (773) 880-4553 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 |