Graduated: 2022
NPI: 1316567969
Practice Locations (2)
VITAE HEALTH MEDICAL ILLINOIS, PLLC
1212 S 2ND ST
DEKALB, IL 601154435
8157588151
VITAE HEALTH MEDICAL ILLINOIS, PLLC
500 ASBURY AVE
EVANSTON, IL 602022724
8473163320
Source: CMS National Downloadable File, September 2026.