Bacidore, Vicki Ann

Bacidore, Vicki Ann is an individual health care provider with primary practice located at 2160 S 1St Ave Bldg 110Ll , Maywood IL 60153-3328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bacidore, Vicki Ann can be contacted via phone (708) 216-5600.

Contact Information

Primary practice address
2160 S 1St Ave Bldg 110Ll Maywood IL 60153-3328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209006359 Illinois

Profile Details

NPI number 1245491281
LBN Legal business name Bacidore, Vicki Ann
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Jun 16th, 2021 - about 3 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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