Individual
EMMA ROSE VICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
565 LAKEVIEW PKWY STE 150, VERNON HILLS, IL 60061-1839
(877) 486-4140
Mailing address
292 BINGHAM CIR, MUNDELEIN, IL 60060-2087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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