Individual
MRS. LINDA K VAICKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5145 N CALIFORNIA AVE STE 331, CHICAGO, IL 60625-3661
(847) 570-1027
(773) 989-1734
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014190
IL
363LA2100X
Acute Care Nurse Practitioner
209.014190
IL
363LA2100X
Acute Care Nurse Practitioner
5007997
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992175467
—
NC
05
—
NP3582
—
SC
Enumeration date
09/28/2015
Last updated
02/06/2025
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