Bustamante, Vicky
Bustamante, Vicky is an individual health care provider with primary practice located at 1875 Dempster St Ste B06 , Park Ridge IL 60068-1186. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bustamante, Vicky can be contacted via phone (847) 723-7024.Contact Information
Primary practice address
1875 Dempster St Ste B06
Park Ridge IL 60068-1186
Phone: (847) 723-7024
Fax: (847) 723-7369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209015209 | Illinois |
Profile Details
| NPI number | 1376080440 |
|---|---|
| LBN Legal business name | Bustamante, Vicky |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2017 |
| Last updated | Dec 14th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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