Daniel W Vittum Iii (NPI# 1164518320, PAC ID# 7416916705) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164518320 |
| PAC ID by PECOS | 7416916705 |
| Professional Enrollment ID | I20041004000208 |
| Full Name | Daniel W Vittum Iii |
| Organization Legal Name | COOK COUNTY |
| Address |
5912 W Cermak Rd Cicero IL 60804-2135 |
| Phone Number | 7087839800 |
| Gender | M |
| Credential | MD |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860398088 |
| Number of Group Practice Members | 604 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140124 | JOHN H STROGER JR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5912 W Cermak Rd, Cicero, IL 60804-2135 | 7087839800 | COOK COUNTY |
| Organization Legal Name | COOK COUNTY |
| Physicians | 698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Baluka | Physician Assistant | Cook County | 6337 S Woodlawn Ave, Chicago, IL 60637-3707 |
| Anna Gushchin | Ophthalmology | Cook County | 15900 S Cicero Ave, Oak Forest, IL 60452-4006 |
| Josephine Adaku Nwawueze | Nurse Practitioner | Cook County | 1645 Cottage Grove Ave, Ford Heights, IL 60411-3818 |
| Nataliya Pyslar | Cardiovascular Disease (cardiology) | Cook County | 13450 S Kedzie Ave, Robbins, IL 60472-1639 |
| Vamsi Kiran Kodumuri | Cardiovascular Disease (cardiology) | Cook County | 1901 W Harrison St, Chicago, IL 60612-3714 |
| Shivani Kamdar | Family Medicine | Cook County | 2424 S Pulaski Rd, Chicago, IL 60623-3718 |
| Camille Billingslea | Family Medicine | Cook County | 1135 W 69th St, Chicago, IL 60621-1147 |
| Grazyna J Siwy | General Practice | Cook County | 4800 W Chicago Ave, Chicago, IL 60651-3226 |
| Stephanie Tennery | Obstetrics/gynecology | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Julita M Mcpherson | Family Medicine | Cook County | 3525 S Michigan Ave, Chicago, IL 60653-1019 |
| Street Address |
5912 W CERMAK RD |
| City | CICERO |
| State | IL |
| Zip | 60804-2135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Tennery | Obstetrics/gynecology | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Chandrika H Shah | Physician Assistant | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Kunjumol P Velayudhan | Nurse Practitioner | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Natalia N Ruiz | Psychologist, Clinical | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Magnus Edosomwan | Internal Medicine | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Maia Feigon | Psychologist, Clinical | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Bundo E Onwueme | Physician Assistant | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Stephanie P Powell | Physician Assistant | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Arnold F Turner | Internal Medicine | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Whitney N Lyn | Family Medicine | Cook County | 5912 W Cermak Rd, Cicero, IL 60804-2135 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Broderick | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Juanita Uribe | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Adriana Carmona | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Maeve A Raphelson | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Linda J Volino | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Elizabeth J Kelly | Nurse Practitioner | Mount Sinai Community Foundation | 1611 S Cicero Ave, Cicero, IL 60804-1520 |
| Kevin George Hendrix | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1621 S Cicero Ave, Cicero, IL 60804-1520 |
| Tessa Qualkinbush | Family Medicine | Mount Sinai Community Foundation | 1611 S Cicero Ave, Cicero, IL 60804-1520 |
| Siu Yeung | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1621 S Cicero Ave, Cicero, IL 60804-1520 |
| Richard E Pugh | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1621 S Cicero Ave, Cicero, IL 60804-1520 |
| Find all physicians in zip 60804 | |||
| City | CICERO |
| Zip Code | 60804 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CICERO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daniel W Vittum Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.