person
Nicole Marie Chum, FNP-BC
Family Nurse Practitioner in Peru, Illinois
NPI 1699402016

Nicole Marie Chum is a Family Nurse Practitioner based in Marseilles, IL and is specialized in Family. Nicole Marie Chum practices in Peru, IL and has the professional credentials of FNP-BC. The NPI Number for Nicole Marie Chum is 1699402016 and holds a License No. 209.025606 (Illinois).

The current practice location address for Nicole Marie Chum is 920 West St Ste 216, Peru, IL and can be reached out via phone at 309-451-3376 and via fax at 309-452-3376. You can also correspond with Nicole Marie Chum through the mailing address at 1986 N 2919TH RD, MARSEILLES, IL - 61341-9002 (mailing address contact number: 815-343-4494).

Location: 920 West St Ste 216, Peru, IL, 61341-9002
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Provider Profile Details
NPI Number
1699402016
Provider Name
Nicole Marie Chum
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
920 West St Ste 216, Peru, IL, 61341-9002
Phone Number
309-451-3376
Fax Number
309-452-3376
Provider Enumeration Date
08/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.025606 01 IL STATE OF ILLINOIS APRN LICENSE
institution
Provider Business Practice Location Address Details
Address
920 West St Ste 216
City
State
Zip
61354-2769
Phone Number
309-451-3376
Fax Number
309-452-3376
person
Provider Business Mailing Address Details
Address
1986 N 2919Th Rd
City
State
Zip
61341-9002
Phone Number
815-343-4494
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.025606 (Illinois)
Definition
Definition to come...
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