Nicole I Wagner (NPI# 1194968602, PAC ID# 9133418577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED CLINICAL NURSE SPECIALIST (CNS).
| Nation Provider ID (NPI) | 1194968602 |
| PAC ID by PECOS | 9133418577 |
| Professional Enrollment ID | I20160525000945 |
| Full Name | Nicole I Wagner |
| Organization Legal Name | FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED SC |
| Address |
2680 N Il Route 83 Round Lake Beach IL 60073-4983 |
| Phone Number | 2243727780 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| Group Practice PAC ID | 6002957511 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2680 N Il Route 83, Round Lake Beach, IL 60073-4983 | 2243727780 | FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED SC |
| 4000 Route 173, Zion, IL 60099 | 8477319617 | FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED SC |
| Organization Legal Name | FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED SC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Johnson | Nurse Practitioner | Family Medicine Specialists of Round Lake Incorporated Sc | 2680 N Il Route 83, Round Lake Beach, IL 60073-4983 |
| Amandeep Kaur | Nurse Practitioner | Family Medicine Specialists of Round Lake Incorporated Sc | 2680 N Il Route 83, Round Lake Beach, IL 60073-4983 |
| Albina Kaphingst | Nurse Practitioner | Family Medicine Specialists of Round Lake Incorporated Sc | 2680 N Il Route 83, Round Lake Beach, IL 60073-4983 |
| Street Address |
2680 N IL ROUTE 83 |
| City | ROUND LAKE BEACH |
| State | IL |
| Zip | 60073-4983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Johnson | Nurse Practitioner | Family Medicine Specialists of Round Lake Incorporated Sc | 2680 N Il Route 83, Round Lake Beach, IL 60073-4983 |
| Amandeep Kaur | Nurse Practitioner | Family Medicine Specialists of Round Lake Incorporated Sc | 2680 N Il Route 83, Round Lake Beach, IL 60073-4983 |
| Albina Kaphingst | Nurse Practitioner | Family Medicine Specialists of Round Lake Incorporated Sc | 2680 N Il Route 83, Round Lake Beach, IL 60073-4983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith Charles Richard | Chiropractic | Bartlett Chiropractic Clinic, Sc | 314 W Rollins Rd, Suite B, Round Lake Beach, IL 60073-1204 |
| Daniel M Vanderweit | Chiropractic | Bartlett Chiropractic Clinic, Sc | 314 W Rollins Rd, Suite B, Round Lake Beach, IL 60073-1204 |
| Kimberlee J Hoffmann | Nurse Practitioner | Advocate Health and Hospitals Corporation | 305 W Rollins Rd, Round Lake Beach, IL 60073-1217 |
| Bong Yeon Shin | Physical Therapy | Athletico Ltd | 192 W Rollins Rd, Round Lake Beach, IL 60073-1324 |
| Robert N White | Family Medicine | 301 E Rollins Rd, Round Lake Beach, IL 60073-1331 | |
| Olga S Zemlekova | Physical Therapy | Lake County Physical Therapy LLC | 301 E Rollins Rd, Round Lake Beach, IL 60073-1331 |
| Zubin S Tantra | Physical Therapy | Lake County Physical Therapy LLC | 301 E Rollins Rd, Round Lake Beach, IL 60073-1331 |
| Rebecca Ellis | Physical Therapy | Lake County Physical Therapy LLC | 301 E Rollins Rd, Round Lake Beach, IL 60073-1331 |
| Alla Yakovleva | Nurse Practitioner | Midwestern Institute of Health Ltd | 19 E Rollins Rd, Round Lake Beach, IL 60073-1347 |
| Kristine G Francisco | Nurse Practitioner | Midwestern Institute of Health Ltd | 19 E Rollins Rd, Round Lake Beach, IL 60073-1347 |
| Find all physicians in zip 60073 | |||
| City | ROUND LAKE BEACH |
| Zip Code | 60073 |
| Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| City + Specialty | ROUND LAKE BEACH + CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
Please comment or provide details below to improve the information on Nicole I Wagner.
| 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.