Individual provider · Type 1 NPI

Tara Cole Nikodem, PA-C

Surgical Physician Assistant · Naperville, IL

NPI number 1720322654 Active

Practice location

1948 Three Farms Ave
Naperville, IL 60540-1105

Call (630) 355-5633 Map

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice locations

  • 211 E Ontario St, Suite 200, Chicago, IL 60611-3468 · (312) 694-7000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085004540 (IL)
Physician Assistant 363A00000X085.004540 (IL)

Surgical Physician Assistant: Definition to come...

26 other providers at this address

Other surgical physician assistant providers in Naperville

See all in Naperville →

About NPI 1720322654

Tara Cole Nikodem, PA-C's National Provider Identifier is 1720322654, issued on Nov 15, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Naperville, IL. The record was last updated on Mar 24, 2026.