Melissa Lyn Vickers in Palos Heights - Pediatrics
Melissa Lyn Vickers - NPI 1912041740
Melissa Lyn Vickers is a Pediatrics in Palos Heights, Illinois. Melissa Lyn Vickers practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Melissa Lyn Vickers is 1912041740. The last update date is 2008-09-25.
Melissa Lyn Vickers's current location address is 11824 Southwest Hwy, Palos Heights, Illinois. You can contact this provider via phone number 7086711175 and fax number 7086711176. The mailing address for Melissa Lyn Vickers is 11824 Southwest Hwy, Palos Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Lyn Vickers |
|---|---|
| Address | 11824 Southwest Hwy, Palos Heights, Illinois |
| Phone Number | 7086711175 |
| Fax Number | 7086711176 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1912041740 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2008-09-25 |
Provider Mailing Address Detail
| Address | 11824 Southwest Hwy |
|---|---|
| City | Palos Heights |
| State | Illinois (IL) |
| Post Code | 604631055 |
| Phone Number | 7086711175 |
| Fax Number | 7086711176 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 70014165 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Melissa Lyn Vickers?
The Melissa Lyn Vickers has been issued the NPI (National Provider Identifier) 1912041740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Melissa Lyn Vickers's facilities are situated?
The facilities of Melissa Lyn Vickers are physically located at the following address: 11824 Southwest Hwy, Palos Heights, IL, 604631055.
What is the area of specialization for Melissa Lyn Vickers, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Melissa Lyn Vickers is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912041740 to Melissa Lyn Vickers?
The Centers for Medicare & Medicaid Services originally issued the 1912041740 to Melissa Lyn Vickers on 2007-02-16.
As of what date were the details pertaining to Melissa Lyn Vickers last refreshed?
The information related to the Melissa Lyn Vickers, including its address, specialty, and other relevant details, was last updated on 2008-09-25.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT