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Contact Information

NICOLE BRAZG, NP
225 E CHICAGO AVE
CHICAGO, IL60611-2991
 Phone: 425-445-1865
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for NICOLE BRAZG · (Female)

NPI # 1336604644
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/31/2019
Last updated 05/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041465583
  • IL License # 209018362
  • WA License # AP60916521
  • WA License # RN60905606
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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