Individual
NICOLE L. STAWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201-1718
(847) 570-2760
(847) 570-2921
Mailing address
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201-1718
(847) 570-2760
(847) 570-2921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.408340
IL
363L00000X
Nurse Practitioner
Primary
209.016413
IL
Other
Enumeration date
10/05/2017
Last updated
01/11/2023
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