AGNIESZKA NIECIUNSKI APN
NPI 1376024976
Nurse Practitioner - Adult Health in Long Grove, IL

Active since August 22, 2018
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047(847) 719-2220(847) 719-2265 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Mar 7, 2023, Aug 12, 2019 and 2 more (5 updates tracked since 2018).

About Agnieszka Nieciunski Apn NPPES

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

AGNIESZKA NIECIUNSKI APN (NPI 1376024976) is an individual adult health provider in Long Grove, Illinois, licensed in Illinois (209017915) and active in the NPI registry since August 2018. She maintains a secondary practice location in Glenview.

NPPES Registry Identity

NPI1376024976
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAGNIESZKA NIECIUNSKICredential: APN
Location Address3880 SALEM LAKE DR STE FLong Grove, IL 60047-5292
Mailing Address2928 Covert RdGlenview, IL 60025-4609 · (708) 567-7502
Fax(847) 719-2265
Sole ProprietorNo
Enumeration DateAugust 22, 2018
Last NPPES UpdateJuly 11, 20235 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1376024976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IL · 209017915
3880 SALEM LAKE DR STE F, Long Grove, IL 60047

Secondary Practice Location 1

Location 12928 Covert RdGlenview, IL 60025-4609 · Phone (708) 567-7502

Other Identifiers 2

Medicaid209017915IL
Other2018001749IL · Ancc Certification

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.

Nurse Practitioner (Adult Health)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Internal Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Family Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Internal Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Nurse Practitioner (Adult Health)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Nurse Practitioner (Adult Health)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Internal Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Nurse Practitioner (Family)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047

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 Agnieszka Nieciunski's NPI number?

The NPI number for Agnieszka Nieciunski is 1376024976. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Agnieszka Nieciunski located?

Agnieszka Nieciunski practices at 3880 Salem Lake Dr Ste F, Long Grove, IL 60047. The listed phone number is (847) 719-2220.

What is Agnieszka Nieciunski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Agnieszka Nieciunski was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.