| Magaly Nickles, APN | |
|
4309 W Medical Center Dr Ste B305, Mchenry, IL 60050-8418 | |
| (847) 802-7400 | |
| Not Available |
| Full Name | Magaly Nickles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 4309 W Medical Center Dr Ste B305, Mchenry, 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 |
|---|---|---|---|
| 1033543129 | NPI | - | NPPES |
| 209-010594 | Other | IL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 041337837 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209010594 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Magaly Nickles, APN 4309 W Medical Center Dr Ste B305, Mchenry, IL 60050-8418 Ph: (847) 802-7400 | Magaly Nickles, APN 4309 W Medical Center Dr Ste B305, Mchenry, IL 60050-8418 Ph: (847) 802-7400 |
Lindsay Ann Mattes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Mercy Dr, Mchenry, IL 60050 Phone: 815-363-9900 | |
Katarzyna Maria Brozek, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-344-5000 | |
Nichole N Clark, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Ridgeview Dr, Mchenry, IL 60050 Phone: 815-344-0621 Fax: 815-344-0664 | |
Tanya Tanzillo, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507 N Richmond Rd, Mchenry, IL 60051 Phone: 815-338-6600 Fax: 815-759-4078 | |
Carrie A Hauck, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Susan Wilde, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4309 W Medical Center Dr, B310, Mchenry, IL 60050 Phone: 815-344-0900 Fax: 815-344-8957 |