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NICOLE WANTOCH FNP-BC
NPI 1114392917
Nurse Practitioner - Family in Chicago, IL

Active since December 04, 2015
2550 N LAKEVIEW AVE, UNIT N805, CHICAGO, IL 60614(773) 317-3644 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Wantoch Fnp-bc NPPES

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

NICOLE WANTOCH FNP-BC (NPI 1114392917) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.013560) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1114392917
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE WANTOCHCredential: FNP-BC
Location Address2550 N LAKEVIEW AVE, UNIT N805Chicago, IL 60614-2045
Mailing Address2550 N Lakeview Ave, Unit N805Chicago, IL 60614-2045 · (773) 317-3644
Phone(773) 317-3644
Sole ProprietorNo
Enumeration DateDecember 4, 2015
✔ NPI 1114392917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.013560
2550 N LAKEVIEW AVE, Chicago, IL 60614
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Other Providers at the Same Location NPPES 2

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

NADINE PORTERA
Speech-Language Pathologist
2550 N LAKEVIEW AVE, S3-04
CHICAGO, IL 60614
Cook County (312) 560-2735
JILL WEISMAN
Dietitian, Registered
2550 N LAKEVIEW AVE
CHICAGO, IL 60614
Cook County (847) 917-5050

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 Nicole Wantoch's NPI number?

The NPI number for Nicole Wantoch is 1114392917. It was assigned to this individual provider in the NPPES registry on December 4, 2015.

Where is Nicole Wantoch located?

Nicole Wantoch practices at 2550 N Lakeview Ave Unit N805, Chicago, IL 60614. The listed phone number is (773) 317-3644.

What is Nicole Wantoch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicole Wantoch was last updated on December 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.