White, Nicole

White, Nicole is an individual health care provider with primary practice located at 3010 Grand Ave , Waukegan IL 60085-2321. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. White, Nicole can be contacted via phone (847) 377-8296.

Contact Information

Primary practice address
3010 Grand Ave Waukegan IL 60085-2321
Phone: (847) 377-8296
Fax: (847) 984-5689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.462351 Illinois
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 041.462351 Illinois

Profile Details

NPI number 1740958388
LBN Legal business name White, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2021
Last updated Aug 30th, 2021 - about 5 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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