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Nicole W Carlson

Nurse Practitioner - Pediatrics

5839 S Maryland Ave Mc 5044
Chicago , Illinois 60637-1463

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Nicole W Carlson

Nurse Practitioner - Pediatrics

5839 S Maryland Ave Mc 5044
Chicago , Illinois 60637-1463

(773) 702-2186

Write a Review Save Call

Nicole W Carlson

Nurse Practitioner - Pediatrics

5839 S Maryland Ave Mc 5044
Chicago , Illinois 60637-1463

(773) 702-2186 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Pediatrics

Languages spoken

  • English

Location

5839 S Maryland Ave Mc 5044 Chicago , Illinois 60637-1463

First Address

  • Nicole W Carlson
  • 5839 S Maryland Ave Mc 5044
  • Chicago, IL
  • Zip : 60637-1463
  • Phone : (773) 702-2186

Second Address

  • Nicole W Carlson
  • 5839 S Maryland Ave Mc 5044
  • Chicago, IL
  • Zip : 60637-1463
  • Phone : (773) 702-2186

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FAQs


Where did Nicole W Carlson attend graduate school?

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Where did Nicole W Carlson do her residency?

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Where did Nicole W Carlson do her fellowship?

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Is Nicole W Carlson board certified?

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What type of doctor is Nicole W Carlson

Nurse Practitioner - Pediatrics

In what state does Nicole W Carlson practice in?

Illinois

Where is Nicole W Carlson ’s practice located?

5839 S Maryland Ave Mc 5044 , Chicago, Illinois, 60637-1463

What is Nicole W Carlson ’s gender?

Female

Is Nicole W Carlson a sole practitioner?

No

Is Nicole W Carlson accepting new patients?

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What languages does Nicole W Carlson speak?

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Does Nicole W Carlson accept insurance?

Yes, Nicole W Carlson accepts insurance

Does Nicole W Carlson offers telemedicine?

Nicole W Carlson has not indicated if she offers telemedicine

What is Nicole W Carlson ’s professional license number?

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What is Nicole W Carlson ’s NPI number?

1013161173

Does Nicole W Carlson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LP0200X Nurse Practitioner - Pediatrics 209004914 IL

National Provider Identifier

NPI 1013161173
Provider Name Nicole W Carlson
First Address Chicago, IL 60637-1463
Second Address Chicago, IL 60637-1463
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 14/11/2008
Last Update Date 14/11/2008

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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