Individual
MRS. WANIKKA VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 BROCKHURST CT, UNIVERSITY PARK, IL 60484-3217
(708) 248-0709
Mailing address
1040 BROCKHURST CT, UNIVERSITY PARK, IL 60484-3217
(708) 248-0709
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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