Active NPI
Nikola Driscoll
- Family Nurse Practitioner
- Des Plaines, IL
National Provider Identifier
1013565191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209032215
- Practice address
- 41 N Westgate Rd
Des Plaines, IL 60016-2254 - Phone
- (773) 899-0483
- NPI assigned
- Aug 31, 2019
- Reactivated
- Jul 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209032215 | IL | Primary |
Addresses
Primary practice location
41 N Westgate Rd
Des Plaines, IL 60016-2254
Mailing address
1945 North Halsted St
101
Chicago, IL 60614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209032215 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1013565191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 NORTH HALSTED ST",
"address_2": "101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 N WESTGATE RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162254",
"telephone_number": "773-899-0483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "NIKOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-31",
"last_updated": "2025-08-06",
"certification_date": "2025-08-01",
"deactivation_date": "2025-04-22",
"reactivation_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209032215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.