NPI 1275285108

Patrick Vickery, CRCLPC

Practitioner Rehabilitation Counselor Chicago, IL

Practice location

Address: 820 S Damen Ave # 116-C, Chicago, IL 60612-3728
Phone: (312) 569-5846
Fax: (312) 569-5913

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 00344723

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Registry record

NPI: 1275285108
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2022
Record last updated: 21 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.