Individual
CAROLE VILCHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-5811
(217) 464-1318
Mailing address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-5811
(217) 464-1318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209010318
IL
363LP2300X
Primary Care Nurse Practitioner
209010318
IL
Other
Enumeration date
03/15/2013
Last updated
04/17/2025
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