Graduated: 2016
NPI: 1821603895
Practice Locations (2)
VITAE HEALTH MEDICAL ILLINOIS, PLLC
165 S BLOOMINGDALE RD
BLOOMINGDALE, IL 601081434
6309808700
333 N RANDALL RD, SUITE 23
SAINT CHARLES, IL 601741500
Source: CMS National Downloadable File, September 2026.