Provider Demographics
NPI:1417146937
Name:SALINEL, VICKY VARGAS (BSN,RN,CCRN)
Entity Type:Individual
Prefix:MRS
First Name:VICKY
Middle Name:VARGAS
Last Name:SALINEL
Suffix:
Gender:F
Credentials:BSN,RN,CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:774 CAMERON DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:IL
Mailing Address - Zip Code:60002-1102
Mailing Address - Country:US
Mailing Address - Phone:847-838-2837
Mailing Address - Fax:847-838-2837
Practice Address - Street 1:774 CAMERON DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:IL
Practice Address - Zip Code:60002-1102
Practice Address - Country:US
Practice Address - Phone:847-838-2837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-21
Last Update Date:2007-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency