MEDICARE: MS. CINDY SUE NICKLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	2994	IL
2	237700000X	Hearing Instrument Specialist	9543	CA

General Provider Information

NPI Number	:	1619279049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CINDY SUE NICKLE

Provider Business Mailing Address
First Line	:	215 SHUMAN BLVD
Second Line	:	STE 401
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-8458
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	978-313-6824

Provider Business Practice Location Address
First Line	:	1635 LAKE SAN MARCOS DR
Second Line	:	STE 108
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-4661
Country	:	US
Telephone Number	:	760-744-1551
Fax Number	:	760-591-9665

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	03/17/2018

Similar Medicare Providers

1528084340 — JOSEPH CZVIK MD
Practice Location Address:

1635 LAKE SAN MARCOS DR , STE 202
SAN MARCOS, CA
92078-4661

Practice Phone: 760-471-1020
Practice Fax:

1588826291 — JOSEPH F CZVIK MD INC
Practice Location Address:

1635 LAKE SAN MARCOS DR , STE 202
SAN MARCOS, CA
92078-4661

Practice Phone: 760-471-1020
Practice Fax: 760-471-1148

1306710462 — SHANAHAN & ASSOCIATES, INC.
Practice Location Address:

1635 LAKE SAN MARCOS DR STE 201-A
SAN MARCOS, CA
92078-4661

Practice Phone: 619-450-4300
Practice Fax: 760-539-7755

1306844279 — DANIEL ROBERT MORE M.D.
Practice Location Address:

1551 BISHOP ST STE 220
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-543-2744
Practice Fax: 805-543-0539

1598746174 — DR. JEFFREY B MUNDORF M.D.
Practice Location Address:

1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-434-5530
Practice Fax: 805-434-0023

1427039916 — VANCE D RODGERS M.D.
Practice Location Address:

1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-434-5530
Practice Fax: 805-786-4220

Directions to “ MS. CINDY SUE NICKLE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.