Kimberly Nicholson, APN | |
3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 | |
(847) 719-2220 | |
(847) 719-2265 |
Full Name | Kimberly Nicholson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 3880 Salem Lake Dr Ste F, Long Grove, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245636026 | NPI | - | NPPES |
209012143 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209012143 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Condell Medical Center | Libertyville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Best Practices Inpatient Care, Ltd. | 5799687372 | 72 |
Entity Name | Best Practices Inpatient Care, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619913522 PECOS PAC ID: 5799687372 Enrollment ID: O20040123000525 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Nicholson, APN 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 Ph: (847) 719-2220 | Kimberly Nicholson, APN 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 Ph: (847) 719-2220 |
Helen E Okorie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Johnnie Dominica Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Mrs. Nicole Brooke Kinberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047 Phone: 847-719-2220 | |
Rebecca Lynne Smith, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Julie A Grandolfo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Miss Monica Lisa Bieszczad, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Angela Rose Depa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 |