Virginia Palicka, RN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Wheaton, IL
NPI 1689176943 · NPPES record last updated Mar 2, 2018
Key facts
- NPI
- 1689176943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 041363077 (IL)
- Practice address
- 111 N County Farm Rd
Wheaton, IL 60187-3977 - Phone
- (630) 682-7400
- NPI assigned
- Mar 2, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041363077 | IL | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041363077 | IL | Yes |
Addresses
Primary practice location
111 N County Farm Rd
Wheaton, IL 60187-3977
Mailing address
111 N County Farm Rd
Wheaton, IL 60187-3977
Phone (630) 682-7400
Other providers in Wheaton, IL
- Bridget Padgett
- Elliott Pae
- Angela Chunsa Pak
- John Pak
- Steven T. Paliakas
- Elisabeth Palmerin
- Anita Demetra Panagiotis
- Panahi Counseling, PC
- Cara Panahi
- David S Panahi
All providers in Wheaton, IL · Psychiatric/Mental Health Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.