Individual
MS. NICOLE ROCHELLE WANDSCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 695-1106
Mailing address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 695-1106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209023402
IL
363LF0000X
Family Nurse Practitioner
209.0402
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.023402
BOARD OF NURSING
IL
Enumeration date
06/28/2021
Last updated
12/08/2021
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