Individual
NICHOLE ERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 E CONGRESS PKWY STE I, CRYSTAL LAKE, IL 60014-6207
(815) 355-1605
Mailing address
8615 COUNTRY SHIRE LN, SPRING GROVE, IL 60081-8990
(847) 732-1328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022284
IL
Other
Enumeration date
10/29/2020
Last updated
08/07/2024
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