Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lara Kathryn Nicol, MD

Individual provider Family Medicine Physician · NPI 1124412374

Lara Kathryn Nicol, MD is a Family Practice in Chicago, Illinois. Graduated from University of Hawaii John A. Burns School of Medicine in 2015, 11 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
IL
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4211 N Cicero Ave Ste 308
Chicago, IL 60641-1649
Phone: (773) 736-6125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-122174 (IL)

Record details

NPI number1124412374
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESDecember 20, 2021
Certification dateDecember 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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