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General NPI Number Information
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NPI Number | 1417845686
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Entity Type | Individual
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Provider Name | ALICIA M NYKIEL DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2520 ELISHA AVE
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City | ZION
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State | IL
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Zip | 60099-2676
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Country | US
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Telephone | 847-342-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 8581 LEXINGTON PL APT 12
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-2521
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Country | US
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Telephone | 773-727-5496
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.032618
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License Number State | IL
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