Gladchenko, Nicole M.

Gladchenko, Nicole M. is an individual health care provider with primary practice located at 2500 W Higgins Rd Ste 1040 , Hoffman Estates IL 60169-2049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gladchenko, Nicole M. can be contacted via phone (847) 884-8096.

Contact Information

Primary practice address
2500 W Higgins Rd Ste 1040 Hoffman Estates IL 60169-2049
Phone: (847) 884-8096
Fax: (847) 490-0978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3101-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.007852 Illinois

Profile Details

NPI number 1437492675
LBN Legal business name Gladchenko, Nicole M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2013
Last updated Nov 14th, 2022 - about 3 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 1437492675 NPPES
Wisconsin Other 1437492675 BCBSWI
Wisconsin MEDICAID 1437492675 BCBSWI
Wisconsin MEDICAID 1437492675 BCBSWI
Wisconsin Other 2630 BCBSWI
Wisconsin Other K400452296 BCBSWI

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