Individual provider · Type 1 NPI
Nicole Wantoch, FNP-BC
Family Nurse Practitioner · Chicago, IL
NPI number
1114392917
Active
Practice location
2550 N Lakeview Ave, Unit N805
Chicago, IL 60614-2045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.013560 (IL) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1114392917
Nicole Wantoch, FNP-BC's National Provider Identifier is 1114392917, issued on Dec 4, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Dec 4, 2015.