Vickie Lindstrom, RN
Individual provider Active NPI Administrator Registered Nurse · McLeansboro, IL
NPI 1891381679 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1891381679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Administrator Registered Nurse 163WA2000X
- License
- 041416282 (IL)
- Practice address
- 206 S Washington Street
McLeansboro, IL 62859 - Phone
- (618) 643-2835
- Fax
- (618) 643-2891
- NPI assigned
- Dec 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RN163493 | AZ | MD | Registered Nurse |
| 041416282 | IL | MD | Administrator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN163493 | AZ | |
| School Registered Nurse | 163WS0200X | RN163493 | AZ | |
| Administrator Registered Nurse | 163WA2000X | 041416282 | IL | Yes |
Addresses
Primary practice location
206 S Washington Street
McLeansboro, IL 62859
Mailing address
206 S Washington Street
McLeansboro, IL 62859
Phone (618) 643-2835
Other providers in McLeansboro, IL
- Hamilton Memorial Hospital District
- Hamilton Memorial Nursing and Rehabilitation Center, L.L.C.
- Hamilton Memorial Nursing Center
- Alec Bruce Hood
- Joyner Therapy Services
- Nikki Diane Lynch
- Rci WRS Inc
- Brett Allen Watkins
All providers in McLeansboro, IL · Administrator 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 May 22, 2025. 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.