Keough, Vicki

Keough, Vicki is an individual health care provider with primary practice located at 2650 Ridge Ave Emergency Medicine, Rm G903C, Evanston IL 60201-1718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Keough, Vicki can be contacted via phone (847) 570-1335.

Contact Information

Primary practice address
2650 Ridge Ave Emergency Medicine, Rm G903C Evanston IL 60201-1718
Phone: (847) 570-1335
Fax: (847) 570-1223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X Illinois

Profile Details

NPI number 1841491966
LBN Legal business name Keough, Vicki
Credentials PHD, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Jul 8th, 2007 - about 19 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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