Individual
AMBER MARIE VLADIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
2442 LAKEWOOD DR, DYER, IN 46311-2128
(708) 420-2201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209017978
IL
363L00000X
Nurse Practitioner
Primary
71009454A
IN
Other
Enumeration date
08/29/2018
Last updated
10/14/2020
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