Individual provider · Type 1 NPI

Nicole Decoudres, PA-C

Physician Assistant · Melrose Park, IL

NPI number 1861745952 Active

Practice location

675 W North Ave Ste 104
Melrose Park, IL 60160-1622

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085004485 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1861745952

Nicole Decoudres, PA-C's National Provider Identifier is 1861745952, issued on Oct 26, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Melrose Park, IL. The record was last updated on Jul 30, 2025.