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NICHOLE SCHUPBACH PNP
NPI 1104455633
Nurse Practitioner - Pediatrics in Chicago, IL

Active since April 06, 2020
225 E CHICAGO AVE, CHICAGO, IL 60611(231) 590-0435 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2021, Apr 6, 2020 (2 updates tracked since 2020).

About Nichole Schupbach Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE SCHUPBACH PNP (NPI 1104455633) is an individual pediatrics provider in Chicago, Illinois, licensed in Georgia (RN301093) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1104455633
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNICHOLE SCHUPBACHCredential: PNP
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address2510 N Wayne Ave Apt 209Chicago, IL 60614-2143 · (231) 590-0435
Phone(231) 590-0435
Sole ProprietorNo
Enumeration DateApril 6, 2020
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1104455633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN301093
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 041422092 (IL)
225 E CHICAGO AVE, Chicago, IL 60611
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BESSEY ELIZABETH JOSE GEEVARGHESE DO
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Schupbach's NPI number?

The NPI number for Nichole Schupbach is 1104455633. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Nichole Schupbach located?

Nichole Schupbach practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (231) 590-0435.

What is Nichole Schupbach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Nichole Schupbach was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.