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

MS. Jacqueline M. Nichols

Individual provider Nurse Practitioner · NPI 1821752494

MS. Jacqueline M. Nichols is a Nurse Practitioner in Lombard, Illinois. Qualified in 2020, 6 years ago. Practices with Elmhurst Memorial Hospital, a 83-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

130 S Main St # 1
Lombard, IL 60148-2670
Phone: (630) 527-3645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 W Lake St # 1, Addison, IL 60101-2586

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209024109 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.024109 (IL)

Record details

NPI number1821752494
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2021
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Elmhurst Memorial Hospital — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Lombard