IndividualActive
Patrick Vickery, CRC, LPC
NPI 1275285108 · Rehabilitation Counselor · Chicago, IL
Provider details
- NPI number
- 1275285108
- Entity type
- Individual
- Primary specialty
- Rehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CRC, LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 00344723
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
820 S Damen Ave # 116-C
Chicago, IL 60612-3728
Phone: (312) 569-5846
Fax: (312) 569-5913
Approximate (ZIP-level) locationGet directions
Mailing address
820 S Damen Ave # 116-C
Chicago, IL 60612-3728
Registry dates
- Enumerated
- 2022-01-21
- Last updated
- 2022-01-21
- Certified
- 2022-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.