Individual provider · Type 1 NPI

Mary Jane Vivero

Psychiatric/Mental Health Registered Nurse · Wheaton, IL

NPI number 1376465799 Active

Practice location

115 N County Farm Rd
Wheaton, IL 60187-3977

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3988

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X041574620 (IL)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1376465799

Mary Jane Vivero's National Provider Identifier is 1376465799, issued on Jul 28, 2026. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Wheaton, IL. The record was last updated on Jul 28, 2026.