Nicole D King (NPI# 1558334003, PAC ID# 7911996079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1558334003 |
| PAC ID by PECOS | 7911996079 |
| Professional Enrollment ID | I20040512000647 |
| Full Name | Nicole D King |
| Address |
9500 S Dorchester Ave Suite 100 Chicago IL 60628-1700 |
| Gender | F |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140179 | LITTLE COMPANY OF MARY HOSPITAL |
| 140158 | MERCY HOSPITAL AND MEDICAL CENTER |
| 140208 | ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER |
| 140119 | RUSH UNIVERSITY MEDICAL CENTER |
| 140191 | INGALLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9500 S Dorchester Ave, Suite 100, Chicago, IL 60628-1700 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
9500 S DORCHESTER AVE SUITE 100 |
| City | CHICAGO |
| State | IL |
| Zip | 60628-1700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor L Thomas | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Angel Leake | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Solomon O Okai | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Jamiere Y Smith | Obstetrics/gynecology | Jamiere Y Smith Md Sc | 9915 S Halsted St, Chicago, IL 60628-1035 |
| Aquila R Shelby | Nurse Practitioner | Little Company of Mary Affiliated Services Inc | 736 W 95th St, Chicago, IL 60628-1063 |
| Olukayode Olowe | Internal Medicine | 123 E 103rd St, Chicago, IL 60628-2713 | |
| Emily Therese Opiola | Nurse Practitioner | American Current Care of Illinois PC | 900 E 103rd St, Chicago, IL 60628-3033 |
| Mejo Vayalil | Nurse Practitioner | Seby S C | 10830 S Halsted St, Chicago, IL 60628-3126 |
| James B Achebe | Family Medicine | 10810 S Halsted St, Chicago, IL 60628-3126 | |
| Joseph S Thomas | Obstetrics/gynecology | 10814 S Halsted St, Chicago, IL 60628-3126 | |
| Find all physicians in zip 60628 | |||
| City | CHICAGO |
| Zip Code | 60628 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nicole D King.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.