Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel W Vittum, MD

Individual provider Family Medicine Physician · NPI 1164518320

Daniel W Vittum, MD is a Family Practice in North Riverside, Illinois. Graduated from Stanford University School of Medicine in 1998, 28 years ago. Practices with Cook County, a 787-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Trained at
Stanford University School of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1800 Harlem Ave Ste A
North Riverside, IL 60546-1468
Phone: (708) 783-9800
Fax: (773) 780-9810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036104765 (IL)

Record details

NPI number1164518320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021
Mailing address1800 Harlem Ave Ste A, North Riverside, IL 60546-1468

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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