Vickery, Patrick

Vickery, Patrick is an individual health care provider with primary practice located at 820 S Damen Ave # 116-C , Chicago IL 60612-3728. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as his primary health care specialty. Vickery, Patrick can be contacted via phone (312) 569-5846.

Contact Information

Primary practice address
820 S Damen Ave # 116-C Chicago IL 60612-3728
Phone: (312) 569-5846
Fax: (312) 569-5913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 00344723

Profile Details

NPI number 1275285108
LBN Legal business name Vickery, Patrick
Credentials CRC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2022
Last updated Jan 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275285108 NPPES
Other 00344723 IDPFR

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