Schupbach, Nichole

Schupbach, Nichole is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Schupbach, Nichole can be contacted via phone (231) 590-0435.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611-2991
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN301093 Georgia
Nursing Service Providers / Pediatrics 163WP0200X 041422092 Illinois

Profile Details

NPI number 1104455633
LBN Legal business name Schupbach, Nichole
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2020
Last updated May 20th, 2021 - about 4 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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