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NPI 1447093612

NPI 1447093612 : NICOLE KATHLEEN QUID CPNP-PC, DNP, RNC-OB : PARK RIDGE, IL

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General NPI Number Information
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    NPI Number           |    1447093612
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    Entity Type          |    Individual 
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    Provider Name        |    NICOLE KATHLEEN QUID CPNP-PC, DNP, RNC-OB
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/17/2024
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    Last Update Date     |    04/14/2025
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Provider Practice Location Address
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    Address Line         |    1775 DEMPSTER ST 
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    City                 |    PARK RIDGE
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    State                |    IL
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    Zip                  |    60068-1143
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    Country              |    US
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    Telephone            |    847-723-5150
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    Fax                  |    847-723-2083
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Provider Business Mailing Address
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    Address Line         |    29373 NETWORK PL 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60673-1293
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    Country              |    US
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    Telephone            |    847-390-5900
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    Fax                  |    847-390-5450
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    041.408813
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    163WX0003X
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    Taxonomy Name        |    Inpatient Obstetric Registered Nurse
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    License Number       |    041408813
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    209.030175
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    License Number State |    IL
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