Nikki J Blackman (NPI# 1801223987, PAC ID# 9537395538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801223987 |
| PAC ID by PECOS | 9537395538 |
| Professional Enrollment ID | I20131121001729 |
| Full Name | Nikki J Blackman |
| Organization Legal Name | LG HEALTHCARE LLC |
| Address |
900 W Il Route 22 Suite 100 Lake Zurich IL 60047-3416 |
| Phone Number | 8474621700 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527364405 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140291 | ADVOCATE GOOD SHEPHERD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 W Il Route 22, Suite 100, Lake Zurich, IL 60047-3416 | 8474621700 | LG HEALTHCARE LLC |
| Organization Legal Name | LG HEALTHCARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce M Bell | Family Practice | Lg Healthcare LLC | 910 Il Route 22, Fox River Grove, IL 60021-1905 |
| John H Gong | Internal Medicine | Lg Healthcare LLC | 900 W Il Route 22, Suite 100, Lake Zurich, IL 60047-3416 |
| Street Address |
900 W IL ROUTE 22 SUITE 100 |
| City | LAKE ZURICH |
| State | IL |
| Zip | 60047-3416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Gong | Internal Medicine | Lg Healthcare LLC | 900 W Il Route 22, Suite 100, Lake Zurich, IL 60047-3416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Choi | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 573w Route 22, Lake Zurich, IL 60047 |
| Robert S Baker | Psychiatry | 4160 Rte, Suite 106, Long Grove, IL 60047 | |
| Reginald Spears | Internal Medicine | 4160 Route 83 207, Long Grove, IL 60047 | |
| Nicole Maxwell | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 573w Route 22, Lake Zurich, IL 60047 |
| Cynthia Schares | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 573w Route 22, Lake Zurich, IL 60047 |
| Theresa M Baron | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 573w Route 22, Lake Zurich, IL 60047 |
| Melanie L Terbovic | Psychologist, Clinical | Clocktower Psychological Associates, Ltd. | 1 Golfview Rd, Suite 4, Lake Zurich, IL 60047-1210 |
| Claudia G Pitts | Psychologist, Clinical | Clocktower Psychological Associates, Ltd. | 1 Golfview Rd, Suite 4, Lake Zurich, IL 60047-1210 |
| Elizabeth A Vinik | Clinical Social Worker | Clocktower Psychological Associates, Ltd. | 1 Golfview Rd, Suite 4, Lake Zurich, IL 60047-1210 |
| Kathleen Kenney | Clinical Social Worker | Barrington Behavioral Health and Wellness PC | 290 N Rand Rd D, Lake Zurich, IL 60047-2213 |
| Find all physicians in zip 60047 | |||
| City | LAKE ZURICH |
| Zip Code | 60047 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE ZURICH + NURSE PRACTITIONER |
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| 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.