Magaly Nickles, APN | |
4309 W Medical Center Dr Ste B305, Mchenry, IL 60050-8418 | |
(847) 802-7400 | |
Not Available |
Full Name | Magaly Nickles |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 4309 W Medical Center Dr Ste B305, Mchenry, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033543129 | NPI | - | NPPES |
209-010594 | Other | IL | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 041337837 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209010594 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Magaly Nickles, APN 4309 W Medical Center Dr Ste B305, Mchenry, IL 60050-8418 Ph: (847) 802-7400 | Magaly Nickles, APN 4309 W Medical Center Dr Ste B305, Mchenry, IL 60050-8418 Ph: (847) 802-7400 |
Mrs. Josette Dutcher, APRN-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 W Elm St, Mchenry, IL 60050 Phone: 800-323-8622 Fax: 224-225-0396 | |
Lindsay Ann Mattes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Mercy Dr, Mchenry, IL 60050 Phone: 815-363-9900 | |
Katarzyna Maria Brozek, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-344-5000 | |
Nichole N Clark, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Ridgeview Dr, Mchenry, IL 60050 Phone: 815-344-0621 Fax: 815-344-0664 | |
Tanya Tanzillo, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507 N Richmond Rd, Mchenry, IL 60051 Phone: 815-338-6600 Fax: 815-759-4078 | |
Carrie A Hauck, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 |