Lewis, Vickie

Lewis, Vickie is an individual health care provider with primary practice located at 3248 Vandever Ave , Pekin IL 61554-6257. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lewis, Vickie can be contacted via phone (309) 347-5579.

Contact Information

Primary practice address
3248 Vandever Ave Pekin IL 61554-6257
Phone: (309) 347-5579
Fax: (309) 347-4264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CRADC Illinois

Profile Details

NPI number 1508209370
LBN Legal business name Lewis, Vickie
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2013
Last updated Apr 11th, 2013 - about 12 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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