| Aiden Nicholson, CNM, APN | |
|
4700 S California Ave, Chicago, IL 60632-2016 | |
| (917) 721-3024 | |
| Not Available |
| Full Name | Aiden Nicholson |
|---|---|
| Gender | Male |
| Speciality | Advanced Practice Midwife |
| Location | 4700 S California Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366849325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 001663 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | 277.000413 (Illinois) | Primary |
| Entity Name | Rush University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Entity Name | Esperanza Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124187125 PECOS PAC ID: 2961453105 Enrollment ID: O20050204000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Aiden Nicholson, CNM, APN 4700 S California Ave, Chicago, IL 60632-2016 Ph: () - | Aiden Nicholson, CNM, APN 4700 S California Ave, Chicago, IL 60632-2016 Ph: (917) 721-3024 |
Jacqueline S Ma, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 Fax: 312-829-6375 | |
Tracy A Abraham, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1220 S Wood St, Chicago, IL 60608 Phone: 312-996-2000 Fax: 312-413-2026 | |
Christina Volkening, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Mallory Marie Klocke, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1117 W Lunt Ave Apt 2a, Chicago, IL 60626 Phone: 712-210-2717 | |
Rebecca Etrenne, APN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 219 W Chicago Ave, Chicago, IL 60654 Phone: 312-878-1945 | |
Ms. Alyssa Suzanne Mull, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1701 W Superior Street, Erie Family Health Center, Chicago, IL 60622 Phone: 312-666-3494 | |
Kamila Stoksik, DNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 250 E Superior St, Chicago, IL 60611 Phone: 312-472-2900 |