Nicole E Noonan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209023422 Issued in IL

Practice address

641 W 63Rd St
Chicago, IL 60621-2032

Phone

(773) 388-1600

Fax

(773) 388-8936

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Howard Brown Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1306048632
  NPD (past)
• Howard Brown Health Center

  • Health Educator
  • Chicago, IL
  • NPI 1811824121
  NPD (past)
• Howard Brown Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1912382227
  NPD (past)
• Omni Health.P.C

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1255487641
  NPD (past)
• Illinois Center for Pain Control LLC

  • Pain Medicine (Anesthesiology) Physician
  • Michigan City, IN
  • NPI 1437556941
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1740955749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212032",
            "telephone_number": "773-388-1600",
            "fax_number": "773-388-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212032",
            "telephone_number": "773-388-1600",
            "fax_number": "773-388-8936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607123925",
            "country_code": "US",
            "telephone_number": "847-242-1001 x6245",
            "fax_number": "847-739-7219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 W Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253679",
            "country_code": "US",
            "telephone_number": "773-989-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209.023422",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christeen Marie Noonan, LCPC, CADC
• Jennifer Noonan, MS, LAT, ATC
• Kate Lynn Noonan
• Lily Noonan
• Megan Noonan
• Sarah Wright Noonan, M.ED.
• Tara Noonan, LCSW
• Kofi Aaba Noonoo, PHD., LCPC
• Noor Obaisi, D.D.S., P.C.
• Noor Obaisi, DDS, PC

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.