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Contact Information

NICHOLE SCHUPBACH, PNP
225 E CHICAGO AVE
CHICAGO, IL60611-2991
 Phone: 231-590-0435
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for NICHOLE SCHUPBACH · (Female)

NPI Number 1104455633
Status Active
Credentials PNP
Entity Individual
Enumeration date 04/06/2020
Last updated 05/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN301093
  • IL License # 041422092
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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