Individual
VICKIE LINDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
206 S WASHINGTON STREET, MCLEANSBORO, IL 62859
(618) 643-2835
(618) 643-2891
Mailing address
206 S WASHINGTON STREET, MCLEANSBORO, IL 62859
(618) 643-2835
(618) 643-2891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN163493
AZ
163WA2000X
Administrator Registered Nurse
Primary
041416282
IL
163WS0200X
School Registered Nurse
RN163493
AZ
Other
Enumeration date
12/16/2020
Last updated
05/22/2025
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