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

Nichole Schupbach, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1104455633

Nichole Schupbach, PNP is a Pediatric Nurse Practitioner in Chicago, Illinois. Licensed in Georgia and Illinois. Registered with an NPI since 2020.

Licensed in
GA, IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (231) 590-0435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN301093 (GA)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 041422092 (IL)

Record details

NPI number1104455633
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021
Mailing address2510 N Wayne Ave Apt 209, Chicago, IL 60614-2143

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