NICOLE LYNN FATKA (NPI# 1073048468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073048468 |
| Entity Type | Individual |
| Full Name | NICOLE LYNN FATKA |
| Practice Address |
318 N Thomas St Gilman IL 60938-1352 |
| Practice Telephone | 8152581043 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
318 N THOMAS ST |
| City | GILMAN |
| State | IL |
| Zip Code | 60938-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033460100 | Rachelle L Wilken | Massage Therapist | 401 S Crescent St., Gilman, IL 60938 | 2012-09-28 |
| 1437234564 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 720 S Crescent, Gilman, IL 60938 | 2006-10-26 |
| 1154401974 | Naran P Dodia | Internal Medicine | 121 E Crescent, Gilman, IL 60938 | 2006-10-16 |
| 1104803394 | Gilman Nursing Center, LLC | Skilled Nursing Facility | 1390 S Crescent, Route 45 South, Gilman, IL 60938 | 2005-12-28 |
| 1720505829 | Haley Marie Benner | Speech-Language Pathologist | 215 E 2nd St, Gilman, IL 60938-1301 | 2017-08-29 |
| 1801908991 | Iroquois Special Education Association | Local Education Agency (LEA) | 108 E Front St, Gilman, IL 60938-1331 | 2006-08-31 |
| 1427164003 | Iroquois West Unit Dist #10 | Local Education Agency (LEA) | 529 E 2nd St, Gilman, IL 60938-1414 | 2006-08-23 |
| 1467962621 | Sarah M Allen | Nurse Practitioner | 720b S Crescent St, Gilman, IL 60938-1518 | 2017-10-02 |
| 1366469132 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 508 E Crescent St, Gilman, IL 60938-1702 | 2006-07-16 |
| 1972994804 | Bhs of Illinois LLC | Substance Abuse Rehabilitation Facility | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2015-02-13 |
| Find all providers in zip 60938 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720436 | April Renee Gallik | Student in an Organized Health Care Education/Training Program | 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 | 2020-11-03 |
| 1932709706 | Samantha Klosak | Student in an Organized Health Care Education/Training Program | 8144 Old Mill Rd, Frankfort, IL 60423-8675 | 2020-10-29 |
| 1508466624 | Carly Belle Mitchell | Student in an Organized Health Care Education/Training Program | 870 Appletree Ct, Northbrook, IL 60062-3402 | 2020-10-28 |
| 1144829813 | Payton Collins | Student in an Organized Health Care Education/Training Program | 5103 S Brookstone Dr, Rochelle, IL 61068-9131 | 2020-10-22 |
| 1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
| 1922607001 | Katherine Chen | Student in an Organized Health Care Education/Training Program | 2305 Mohawk Ln, Glenview, IL 60026-1035 | 2020-10-20 |
| 1922606995 | Cassia Yuechun Weigel | Student in an Organized Health Care Education/Training Program | 601 N Main St Apt 5s, Normal, IL 61761-1576 | 2020-10-13 |
| 1679171888 | Manuel J Ramirez | Student in an Organized Health Care Education/Training Program | 714 W Woodland Rd, Lake Bluff, IL 60044-1652 | 2020-10-12 |
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1871109496 | Morgan Elizabeth Westjohn | Student in an Organized Health Care Education/Training Program | 111 Mound St, Sainte Marie, IL 62459 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.