Nikodem, Tara Cole

Nikodem, Tara Cole is an individual health care provider with primary practice located at 1948 Three Farms Ave , Naperville IL 60540-1105. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Nikodem, Tara Cole can be contacted via phone (630) 355-5633.

Contact Information

Primary practice address
1948 Three Farms Ave Naperville IL 60540-1105
Phone: (630) 355-5633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085004540 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.004540 Illinois

Profile Details

NPI number 1720322654
LBN Legal business name Nikodem, Tara Cole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Mar 24th, 2026 - about 7 months 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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