NICOLE E NOONAN NP
NPI 1740955749
Nurse Practitioner - Family in Chicago, IL

Active since August 11, 2021
641 W 63RD ST, CHICAGO, IL 60621(773) 388-1600(773) 388-8936 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2023, Aug 11, 2021 (2 updates tracked since 2021).

About Nicole E Noonan Np NPPES

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

NICOLE E NOONAN NP (NPI 1740955749) is an individual family provider in Chicago, Illinois, licensed in Illinois (209023422) and active in the NPI registry since August 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740955749
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE E NOONANCredential: NP
Location Address641 W 63RD STChicago, IL 60621-2032
Mailing Address641 W 63rd StChicago, IL 60621-2032 · (773) 388-1600 · Fax (773) 388-8936
Fax(773) 388-8936
Sole ProprietorNo
Enumeration DateAugust 11, 2021
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
NPI 1740955749 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 · 209023422
641 W 63RD ST, Chicago, IL 60621

Secondary Practice Locations 2

Location 16501 N Lincoln AveLincolnwood, IL 60712-3925 · Phone (847) 242-1001 ext. 6245 · Fax (847) 739-7219
Location 22515 W Lawrence AveChicago, IL 60625-3679 · Phone (773) 989-3344

Other Identifiers 1

Medicaid209.023422IL

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 (Women's Health)
641 W 63RD ST
CHICAGO, IL 60621
Case Manager/Care Coordinator
641 W 63RD ST
CHICAGO, IL 60621
Registered Nurse (Community Health)
641 W 63RD ST
CHICAGO, IL 60621
Clinic/Center (Adult Mental Health)
641 W 63RD ST, L33
CHICAGO, IL 60621
Clinic/Center (Federally Qualified Health Center (FQHC))
641 W 63RD ST
CHICAGO, IL 60621
Social Worker (Clinical)
641 W 63RD ST, L33
CHICAGO, IL 60621
Pediatrics
641 W 63RD ST
CHICAGO, IL 60621
Psychologist (Clinical)
641 W 63RD ST, SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621

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 Noonan's NPI number?

The NPI number for Nicole Noonan is 1740955749. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Nicole Noonan located?

Nicole Noonan practices at 641 W 63rd St, Chicago, IL 60621. The listed phone number is (773) 388-1600.

What is Nicole Noonan'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 Noonan was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.