Individual
NICOLE NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1226 S WESTERN AVE, PARK RIDGE, IL 60068-5058
(630) 338-2708
Mailing address
1226 S WESTERN AVE, PARK RIDGE, IL 60068-5058
(630) 338-2708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209034717
IL
363L00000X
Nurse Practitioner
Primary
209034717
IL
Other
Enumeration date
02/14/2026
Last updated
02/16/2026
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