Amber Elise Vicic
Amber Elise Vicic is a Student in an Organized Health Care Education/Training Program in New Lenox, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
21701 Gougar RdNew Lenox, IL 60451-1576
Phone: (815) 878-4835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2081 Ridge Rd, Minooka, IL 60447-8848 — (815) 467-1612
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1871090225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2018 |
| Last updated in NPPES | June 29, 2022 |
| Certification date | May 26, 2021 |
| Mailing address | 21701 Gougar Rd, New Lenox, IL 60451-1576 |
Other providers in New Lenox
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Dr. Zayna Jan, DDS
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Hannah Kowalczyk
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Fernanda Martinez
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Ahmad Shoubaki, MD
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