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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMBER ELISE VICIC

Active Sole Proprietor

AMBER ELISE VICIC is a Athletic Trainer healthcare provider located in NEW LENOX, Illinois. NPI 1871090225 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NEW LENOX, IL

Registration Details

NPI Number
1871090225
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2018 (8.306655065343 yrs)
Last Updated
Jun 29, 2022
Sole Proprietor
Yes

Practice Information

Address
21701 GOUGAR RD
NEW LENOX, IL, 604511576
Browse IL providers · Browse ZIP 60451
Phone
8158784835
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in NEW LENOX, IL

Name Credential NPI
MS. JAMIE LYNN SMITH ATC 1922077247
SAVITRIA NICOLE WILLIAMS ATC, L.A.T 1164485561
MR. ALAN ROGER DONLEY MS, ATC 1598797623
NICHOLAS FORSYTHE LAT 1356542427
ERIC BUCK ATC 1699028894
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.