Vitiello, Marylene
Vitiello, Marylene is an sole proprietor health care provider with primary practice located at 1525 E 55Th St Ste 303 , Chicago IL 60615. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Vitiello, Marylene can be contacted via phone (773) 947-9994.Contact Information
Primary practice address
1525 E 55Th St Ste 303
Chicago IL 60615
Phone: (773) 947-9994
Fax: (773) 947-8281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 021001441 | Illinois |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 021001441 | Illinois |
Profile Details
| NPI number | 1538558408 |
|---|---|
| LBN Legal business name | Vitiello, Marylene |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2015 |
| Last updated | May 24th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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