Nicolle Bek
Individual provider Active NPI Psychologist · Lake Bluff, IL
NPI 1124909106 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1124909106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235 - Phone
- (159) 669-6784
- NPI assigned
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235
Mailing address
164 Knightsbridge Dr
Mundelein, IL 60060-3244
Phone (224) 433-1412
Other providers in Lake Bluff, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.