Individual provider · Type 1 NPI

Nancy M. Doherty, NP

Nurse Practitioner · Lake Forest, IL

NPI number 1306815006 Active

Practice location

1100 Pembridge Dr
Lake Forest, IL 60045

Call (847) 604-6700 Map

Fax (847) 570-3426

Mailing address

3200 Grant St, Attn Accounting Department
Evanston, IL 60201

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1306815006

Nancy M. Doherty, NP's National Provider Identifier is 1306815006, issued on Mar 15, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Forest, IL. The record was last updated on Jul 13, 2026.