Individual
DR. NICOLE K SCRIPSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1855 W TAYLOR ST, CHICAGO, IL 60612
(312) 996-6590
Mailing address
6160 KEMPSVILLE CIR STE 250B, NORFOLK, VA 23502-3933
(757) 631-2723
(757) 481-1285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256093
MA
207W00000X
Ophthalmology Physician
Primary
0101268838
VA
207W00000X
Ophthalmology Physician
036.145909
IL
207W00000X
Ophthalmology Physician
2020-00485
NC
Other
Enumeration date
06/12/2013
Last updated
11/17/2023
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