Jennifer L Nichols (NPI# 1790028801, PAC ID# 9436426376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1790028801 |
| PAC ID by PECOS | 9436426376 |
| Professional Enrollment ID | I20190812001460 |
| Full Name | Jennifer L Nichols |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Address |
444 N Park Blvd Glen Ellyn IL 60137-4622 |
| Phone Number | 6304690045 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2013 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 5890696231 |
| Number of Group Practice Members | 660 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140211 | DELNOR COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 444 N Park Blvd, Glen Ellyn, IL 60137-4622 | 6304690045 | CENTRAL DUPAGE PHYSICIAN GROUP |
| 1800 N Main St, Wheaton, IL 60187-3112 | 6306144960 | CENTRAL DUPAGE PHYSICIAN GROUP |
| 25 N Winfield Rd, Winfield, IL 60190-1295 | 6302600600 | CENTRAL DUPAGE PHYSICIAN GROUP |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Physicians | 623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert James Kasper | Family Medicine | Central Dupage Physician Group | 298 Randall Rd, Geneva, IL 60134-4203 |
| Lauren E Miser | Physician Assistant | Central Dupage Physician Group | 2425 Fargo Blvd, Geneva, IL 60134-3591 |
| Melissa Lancaster | Psychologist, Clinical | Central Dupage Physician Group | 302 Randall Rd, Geneva, IL 60134-4209 |
| Deborah A Henschler | Nurse Practitioner | Central Dupage Physician Group | 224 E Railroad St, Sandwich, IL 60548-2240 |
| Mehr Iqbal | Psychiatry | Central Dupage Physician Group | 1800 N Main St, Wheaton, IL 60187-3112 |
| Rakhee Kalelkar | Internal Medicine | Central Dupage Physician Group | 1019 School St, Lisle, IL 60532-1870 |
| Katharyn Lupo | Pediatric Medicine | Central Dupage Physician Group | 636 Raymond Dr, Naperville, IL 60563-9789 |
| Carrie A Feid | Nurse Practitioner | Central Dupage Physician Group | 304 Randall Rd, Geneva, IL 60134-4200 |
| Spring S Piatek | Certified Clinical Nurse Specialist (cns) | Central Dupage Physician Group | 473 W Army Trail Rd, Bloomingdale, IL 60108-2674 |
| Rhonda Koach | Qualified Speech Language Pathologist | Central Dupage Physician Group | 2127 Midlands Ct, Unit 203, Sycamore, IL 60178-3173 |
| Street Address |
444 N PARK BLVD |
| City | GLEN ELLYN |
| State | IL |
| Zip | 60137-4622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerome L Kolavo | Orthopedic Surgery | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Patrick J Camodeca | Family Medicine | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Farha Saghir | Family Medicine | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Jane E Larsen | Family Medicine | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Michael J Hussey | Obstetrics/gynecology | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Vinita Mathew | Physical Medicine and Rehabilitation | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Aimee L Naleway | Physician Assistant | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Asim Zaidi | Internal Medicine | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Jennifer Lawrence | Nurse Practitioner | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Scott D Mcnaughton | Internal Medicine | Central Dupage Physician Group | 444 N Park Blvd, Glen Ellyn, IL 60137-4622 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan L Thorne Devin | Clinical Social Worker | 500 Roosevelt Rd, Suite 205, Glen Ellyn, IL 60137-2600 | |
| Brenda Sypolt | Clinical Social Worker | Kb Psychological Practice PC | 2 S 706 Park Blvd, Glen Ellyn, IL 60137-3936 |
| Alan Y K Chow | Ophthalmology | 386 Pennsylvania Ave, Suite 3n, Glen Ellyn, IL 60137-4323 | |
| Melissa J Siavelis | Qualified Audiologist | Hartman Hearing Group Inc | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 |
| Jeanne P. Perkins | Qualified Audiologist | Hartman Hearing Group Inc | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 |
| Linda A Burba | Audiologist | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 | |
| Shaukat Jamal | Psychiatry | 478 Pennsylvania Ave, Suite 101, Glen Ellyn, IL 60137-4425 | |
| Marzenna Schoeneich | Internal Medicine | 420 Pennsylvania Ave, Suite 103, Glen Ellyn, IL 60137-4437 | |
| Danielle Bryant | Nurse Practitioner | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Melissa Lee Robinson | Pediatric Medicine | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Find all physicians in zip 60137 | |||
| City | GLEN ELLYN |
| Zip Code | 60137 |
| Specialty | NEUROLOGY |
| City + Specialty | GLEN ELLYN + NEUROLOGY |
Please comment or provide details below to improve the information on Jennifer L Nichols.
| 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.