Bennett, Nicola

Bennett, Nicola is an individual health care provider with primary practice located at 1000 Burr Ridge Pkwy Ste 201 , Burr Ridge IL 60527-0864. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bennett, Nicola can be contacted via phone (312) 818-4650.

Contact Information

Primary practice address
1000 Burr Ridge Pkwy Ste 201 Burr Ridge IL 60527-0864
Phone: (312) 818-4650
Fax: (855) 618-2629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.014255 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209.014255 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209.014255 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6958-33 Wisconsin

Profile Details

NPI number 1942655865
LBN Legal business name Bennett, Nicola
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2016
Last updated Nov 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942655865 NPPES
Wisconsin MEDICAID 1942655865

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