Individual
COURTENAY A VIHTELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-3278
(708) 581-5877
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.003373
IL
363LA2200X
Adult Health Nurse Practitioner
209012629
IL
Other
Enumeration date
03/09/2015
Last updated
01/03/2025
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