Nicole Marie Chum, FNP-BC | |
920 West St Ste 216, Peru, IL 61354-2769 | |
(309) 451-3376 | |
(309) 452-3376 |
Full Name | Nicole Marie Chum |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 920 West St Ste 216, Peru, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699402016 | NPI | - | NPPES |
209.025606 | Other | IL | STATE OF ILLINOIS APRN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.025606 (Illinois) | Primary |
Entity Name | Dermatology And Mohs Surgery Institute Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770828626 PECOS PAC ID: 3870732191 Enrollment ID: O20130618000425 |
Mailing Address | Practice Location Address |
---|---|
Nicole Marie Chum, FNP-BC 1986 N 2919th Rd, Marseilles, IL 61341-9002 Ph: (815) 343-4494 | Nicole Marie Chum, FNP-BC 920 West St Ste 216, Peru, IL 61354-2769 Ph: (309) 451-3376 |
Tiffany Ann Shinnick, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-220-2645 | |
Shannon Lynn Whitley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Melissa Elvira Ramirez, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Mrs. Candace R Ramirez, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Road, Peru, IL 61354 Phone: 815-538-1351 | |
Jennifer Marie Dowding, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 6th St, Peru, IL 61354 Phone: 309-308-5072 | |
Keith Christensen, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-664-5311 | |
Debra Herz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-2808 Fax: 815-220-2691 |