Individual
NICOLE PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1875 DEMPSTER ST STE 525, PARK RIDGE, IL 60068-1130
(847) 698-5500
(847) 698-5517
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025173
IL
363LA2100X
Acute Care Nurse Practitioner
209025173
IL
Other
Enumeration date
09/16/2022
Last updated
07/19/2024
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