| Nicole Marie Chum, FNP-BC | |
|
920 West St Ste 216, Peru, IL 61354-2769 | |
| (309) 451-3376 | |
| (309) 452-3376 |
| Full Name | Nicole Marie Chum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 920 West St Ste 216, Peru, 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 |
|---|---|---|---|
| 1699402016 | NPI | - | NPPES |
| 209.025606 | Other | IL | STATE OF ILLINOIS APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.025606 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology And Mohs Surgery Institute Ltd | 3870732191 | 8 |
| Entity Name | Dermatology And Mohs Surgery Institute Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770828626 PECOS PAC ID: 3870732191 Enrollment ID: O20130618000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Chum, FNP-BC 1986 N 2919th Rd, Marseilles, IL 61341-9002 Ph: (815) 343-4494 | Nicole Marie Chum, FNP-BC 920 West St Ste 216, Peru, IL 61354-2769 Ph: (309) 451-3376 |
Tiffany Ann Shinnick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-220-2645 | |
Shannon Lynn Hiller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Melissa Elvira Ramirez, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Mrs. Candace R Ramirez, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Road, Peru, IL 61354 Phone: 815-538-1351 | |
Jennifer Marie Dowding, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1403 6th St, Peru, IL 61354 Phone: 309-308-5072 | |
Keith Christensen, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-664-5311 | |
Debra Herz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-2808 Fax: 815-220-2691 |