Individual
NICOLE HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 S RIVER RD, DES PLAINES, IL 60018-6001
(872) 777-1750
Mailing address
23708 W COTSWALD DR, PLAINFIELD, IL 60585-8590
(815) 474-7031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.016417
IL
Other
Enumeration date
12/05/2017
Last updated
12/16/2025
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