Individual provider · Type 1 NPI
Nicole Gazdzik
Family Nurse Practitioner · Chicago, IL
NPI number
1376284091
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Fax (773) 753-0581
Mailing address
477 N 400 E
Valparaiso, IN 46383-9707
Other practice locations
- 10855 Virginia St, Crown Point, IN 46307-0210 · (888) 824-0200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.418982 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209024080 (IL) |
| Family Nurse Practitioner | 363LF0000X | 28210053A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376284091
Nicole Gazdzik's National Provider Identifier is 1376284091, issued on Apr 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Mar 24, 2026.