| Kristine Nichols, APN, FNP-C | |
|
1127 S York Rd, Elmhurt-edward Walk In Clinic In Jewel, Bensenville, IL 60106-3342 | |
| (331) 221-2830 | |
| Not Available |
| Full Name | Kristine Nichols |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 1127 S York Rd, Bensenville, 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 |
|---|---|---|---|
| 1356614796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209009118 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Nichols, APN, FNP-C 1127 S York Rd, Elmhurt-edward Walk In Clinic In Jewel, Bensenville, IL 60106-3342 Ph: (331) 221-2830 | Kristine Nichols, APN, FNP-C 1127 S York Rd, Elmhurt-edward Walk In Clinic In Jewel, Bensenville, IL 60106-3342 Ph: (331) 221-2830 |
Lisa Nicole Pena, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 440 S York Rd, Bensenville, IL 60106 Phone: 630-521-9700 Fax: 630-521-9797 | |
Mrs. Myra Stephanie Andrews, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 W Main St, Bensenville, IL 60106 Phone: 630-892-4355 | |
Rosemary Uy-palmer, APRN-FPA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Meyer Rd, Bensenville, IL 60106 Phone: 630-534-0959 |