Active NPI
Amber Marie Vladika, NP
- Nurse Practitioner
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71009454A
- Practice address
- 333 Madison St
Joliet, IL 60435-8200 - Phone
- (815) 725-7133
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209017978 | IL | |
| Nurse Practitioner | 363L00000X | 71009454A | IN | Primary |
Addresses
Primary practice location
333 Madison St
Joliet, IL 60435-8200
Mailing address
2442 Lakewood Dr
Dyer, IN 46311-2128
Phone (708) 420-2201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, MI, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 W Adams St
Chicago, IL 60661-3604
Phone (312) 506-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009454A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cep America - Illinois, LLP | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
9501 S Western Ave
Chicago, IL 60643
Phone (773) 344-9465
800 W Fulton Market
Fl 12
Chicago, IL 60607
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
123 S Northwest Hwy
Park Ridge, IL 60068
Phone (224) 379-9632
3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000
3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051
123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582
102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224
630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091
505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925
25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1720448491
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- Gary, IN
- NPI 1619538055
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1891277646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2442 LAKEWOOD DR",
"city": "DYER",
"state": "IN",
"postal_code": "463112128",
"telephone_number": "708-420-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MADISON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358200",
"telephone_number": "815-725-7133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLADIKA",
"first_name": "AMBER",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209017978",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71009454A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.