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MRS. STEPHANIE WICKMAN APN
NPI 1780052423
Nurse Practitioner - Adult Health in Prairie Grove, IL

Active since September 11, 2015
3801 W CONESTOGA TRL, PRAIRIE GROVE, IL 60012(847) 209-0128 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stephanie Wickman Apn NPPES

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

MRS. STEPHANIE WICKMAN APN (NPI 1780052423) is an individual adult health provider in Prairie Grove, Illinois, licensed in Illinois (209012707) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1780052423
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. STEPHANIE WICKMANCredential: APN
Location Address3801 W CONESTOGA TRLPrairie Grove, IL 60012-2081
Mailing Address3801 W Conestoga TrlPrairie Grove, IL 60012-2081
Phone(847) 209-0128
Sole ProprietorNo
Enumeration DateSeptember 11, 2015
✔ NPI 1780052423 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 · 209012707
3801 W CONESTOGA TRL, Prairie Grove, IL 60012
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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 Stephanie Wickman's NPI number?

The NPI number for Stephanie Wickman is 1780052423. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Where is Stephanie Wickman located?

Stephanie Wickman practices at 3801 W Conestoga Trl, Prairie Grove, IL 60012. The listed phone number is (847) 209-0128.

What is Stephanie Wickman'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 Stephanie Wickman was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.