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Amber Vicic
NPI 1871090225 · on the registry since 2018 · sole proprietor
Practice
- Address
- 21701 Gougar Rd
New Lenox, IL 60451 - Phone
- (815) 878-4835
- Clinicians at this address
- 5
Additional practice sites
- 2081 Ridge Rd, Minooka, IL
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Sex
- Female
- Record last updated
- 2022-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois