Nicole Jacques, LSW - Psychiatry & Neurology in Libertyville, IL

Nicole Jacques, LSW is a Psychiatry & Neurology - Psychiatry physician based in Libertyville, Illinois. Nicole Jacques is licensed to practice in Illinois (license number 115845) and her current practice location is 1860 W Winchester Rd Ste 106, Libertyville, Illinois. She can be reached at her office (for appointments etc.) via phone at (262) 496-5863.

NPI number for Nicole Jacques is 1013870609 and her current mailing address is 2002 16th Ave, Kenosha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013870609.

Contact Information

Nicole Jacques, LSW
1860 W Winchester Rd Ste 106,
Libertyville, IL 60048-5312
(262) 496-5863
Not Available

Map and Direction




Physician's Profile

Full NameNicole Jacques
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1860 W Winchester Rd Ste 106, Libertyville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013870609
  • Provider Enumeration Date: 12/09/2025
  • Last Update Date: 12/09/2025

Medical Identifiers

Medical identifiers for Nicole Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013870609NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 115845 (Illinois)Primary
2084N0400XPsychiatry & Neurology - Neurology 115845 (Illinois)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Jacques is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Jacques, LSW
2002 16th Ave,
Kenosha, WI 53140-4711

Ph: (262) 496-5863
Nicole Jacques, LSW
1860 W Winchester Rd Ste 106,
Libertyville, IL 60048-5312

Ph: (262) 496-5863

Reviews and Comments


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