MRS. NICOLE THERESE MARKS (NPI# 1477952729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477952729 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE THERESE MARKS |
| Credential | A.P.N., F.N.P-BC |
| Practice Address |
4789 Route 71 Oswego IL 60543-7415 |
| Practice Telephone | 6306925730 |
| Practice Fax Number | 6306925731 |
| Mailing Telephone | 6306925730 |
| Mailing Fax Number | 6306925731 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041.386240 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
277000824 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 245 W Roosevelt Rd, Bldg 14, Suite 150, West Chicago, IL 601853739 | 6302934124 | 6302939909 |
| 4789 Route 71, Oswego, IL 605437415 | 6306925730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053770081 | Nicole Beth Marks | Behavioral Analyst | 430 Ridge Rd, A-21, Lyndhurst, NJ 07071-2428 | 2016-02-18 |
| 1679965420 | Nicole Marks | Licensed Practical Nurse | 1142 Plainfield Rd, South Euclid, OH 44121-2556 | 2015-03-03 |
| 1568907400 | Nicole Short Marks | Pharmacist | 570 Enon Springs Rd E, Smyrna, TN 37167-4409 | 2017-01-02 |
| 1790178937 | Nicole Marks | Physician Assistant | 1400 Locust St, Pittsburgh, PA 15219-5114 | 2015-03-12 |
| 1427339241 | Nicole Marie Marks | Physical Therapist | 20104 State Route 3, Programs for Exceptional Students, Watertown, NY 13601-5560 | 2011-09-07 |
| Street Address |
4789 ROUTE 71 |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543-7415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861445033 | Paul D Granoff | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2006-05-18 |
| 1710508973 | Nicole Ann Hohman | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2020-04-29 |
| 1083126619 | Adam Estrada | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2017-11-05 |
| 1306366794 | Christine Elizabeth Kowalewski | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543 | 2017-06-26 |
| 1922533397 | Kristen Joanne Olszewski | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2017-04-24 |
| 1083076798 | Kyla Phu | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2016-03-22 |
| 1427485945 | Jaclynn A Jackubowski | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2013-09-29 |
| 1497020234 | Virginia Katherine House Hathcock | Nurse Practitioner | 4789 Route 71, Oswego, IL 60543-7415 | 2012-03-13 |
| 1316214240 | Nicole Christine Keller | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2011-11-21 |
| 1427234426 | Parul Bhatt | Pediatrics | 4789 Route 71, Oswego, IL 60543 | 2008-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
| Find all providers in zip 60543 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194344093 | Yonia Roseline Ahyee | Nurse Practitioner | 325 Ash Grove Ln, Oswego, IL 60543-7501 | 2020-04-10 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1053825042 | Amanda Lynn Pochedly | Nurse Practitioner | 283 W 2nd St Ste 200, Oswego, NY 13126-3878 | 2017-11-29 |
| 1124400296 | Beverly Chartrand | Nurse Practitioner | 760 County Route 25, Oswego, NY 13126-5712 | 2015-06-24 |
| 1972879203 | Patricia Charlene Ridings | Nurse Practitioner | 805 Barker Drive, Oswego, KS 67356-9034 | 2012-03-30 |
| 1033347547 | Tricia R Vivlamore | Nurse Practitioner | 7060 State Route 104, Suny Oswego, Oswego, NY 13126-3501 | 2009-06-24 |
| 1780726513 | Mary Ann Perlman | Nurse Practitioner | 1 Rudolph Rd, Suny Oswego, Oswego, NY 13126 | 2007-02-12 |
| 1720160112 | Merry E Egan | Nurse Practitioner | Rudolph Road, Walker Health Ctr, Suny Oswego, Oswego, NY 13126 | 2006-10-19 |
| 1295825958 | Vera Z Arnold | Nurse Practitioner | 521 Truman Dr, Oswego, IL 60543-7421 | 2006-10-13 |
| 1669434569 | Suzanne Marie Naylor | Nurse Practitioner | 448 County Route 1a, Oswego, NY 13126 | 2006-04-05 |
| Find all providers in OSWEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.