Vicic, Amber Elise

Vicic, Amber Elise is an sole proprietor health care provider with primary practice located at 21701 Gougar Rd , New Lenox IL 60451-1576. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Vicic, Amber Elise can be contacted via phone (815) 878-4835.

Contact Information

Primary practice address
21701 Gougar Rd New Lenox IL 60451-1576
Phone: (815) 878-4835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1871090225
LBN Legal business name Vicic, Amber Elise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2018
Last updated Jun 29th, 2022 - 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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