MEDICARE: NICOLE M. LIMON APN-CNP

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	363LF0000X	Family Nurse Practitioner	209015289	IL
2	363L00000X	Nurse Practitioner	277001326	IL

General Provider Information

NPI Number	:	1750789756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE M. LIMON APN-CNP

Provider Business Mailing Address
First Line	:	801 S WASHINGTON ST
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-7430
Country	:	US
Telephone Number	:	630-527-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4327 S ARCHER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632
Country	:	US
Telephone Number	:	773-242-2370
Fax Number	:

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

Provider Enumeration Date	:	12/08/2014
Last Update Date	:	04/10/2026

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