Individual
NANCY J CHAIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
5145 N CALIFORNIA AVE, WOUND CARE CENTER, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
2740 W FOSTER AVE, LL7, CHICAGO, IL 60625-3500
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.007291
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041177044
—
IL
01
—
406120003
PTAN
—
Enumeration date
01/16/2009
Last updated
03/02/2015
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