Individual
MRS. VICKI ANN BACIDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S 1ST AVE BLDG 110LL, MAYWOOD, IL 60153-3328
(708) 216-5600
Mailing address
2160 S 1ST AVE BLDG 110LL, MAYWOOD, IL 60153-3328
(708) 216-5600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209006359
IL
Other
Enumeration date
06/23/2008
Last updated
06/16/2021
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