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NPI Code Detail

MEDICARE: DR. NICOLE MARIE PAPROCKI

MEDICARE: DR. NICOLE MARIE PAPROCKI
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
1207Q00000XFamily Medicine Physician125073777IL
2207Q00000XFamily Medicine Physician125.073777IL
3390200000XStudent in an Organized Health Care Education/Training Program
4207Q00000XFamily Medicine Physician036.160075IL

General Provider Information

NPI Number : 1811458466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE MARIE PAPROCKI
Provider Business Mailing Address
First Line : 6250 S COTTAGE GROVE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-2530
Country : US
Telephone Number : 312-682-6110
Fax Number :
Provider Business Practice Location Address
First Line : 6250 S COTTAGE GROVE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-2530
Country : US
Telephone Number : 312-682-6110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 05/24/2024

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Directions to “ DR. NICOLE MARIE PAPROCKI ” Practice Location

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