Healthcare Provider Details

I. General information

NPI: 1174978696
Provider Name (Legal Business Name): NICOLE K SCHNOES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLE BATTAGLIA NP

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ERIE CT
OAK PARK IL
60302-2519
US

IV. Provider business mailing address

141 N OAK ST
WEST CHICAGO IL
60185-2213
US

V. Phone/Fax

Practice location:
  • Phone: 708-763-6747
  • Fax:
Mailing address:
  • Phone: 630-532-4229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number04-1413708
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.014552
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: