D'Amico, Nicole

D'Amico, Nicole is an individual health care provider with primary practice located at 10661 W La Porte Rd , Mokena IL 60448-9475. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. D'Amico, Nicole can be contacted via phone (708) 925-3100.

Contact Information

Primary practice address
10661 W La Porte Rd Mokena IL 60448-9475
Phone: (708) 925-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28208148A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 041407135 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28208148A Indiana

Profile Details

NPI number 1669057675
LBN Legal business name D'Amico, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2021
Last updated Feb 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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