Nicole Marie Pronek, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043-103203 Issued in IL

Practice address

553 McHenry Rd
Wheeling, IL 60090-9237

Phone

(847) 215-5854

NPI assigned

Oct 6, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nicole Marie Bala Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6372/brand/1/csg/1/fhir/r4

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

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  • NPI 1245577667
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1821750084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 MCHENRY RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600909237",
            "telephone_number": "847-215-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 MCHENRY RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600909237",
            "telephone_number": "847-215-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRONEK",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043-103203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NPronek@franciscancommunities.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "553 McHenry Rd",
            "city": "Wheeling",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600909237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BALA",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Portnoy, DMD
• Kenneth Portnoy, O.D.
• Paul Potach, DPM
• Michael Preissing, MSW
• Prime Health Medical and Rehab LTD
• John Quintero
• Radiance Physical Therapy LLC
• Ma Adelma B Ragudo, MSN, FNP
• Rahnev Physical Therapy and Wellness, PLLC
• Luis Alberto Ramirez, MD

• Licensed Practical Nurse in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.