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

Nicole Kyoko Runkle, MD

Individual provider Family Medicine Physician · NPI 1043834252

Nicole Kyoko Runkle, MD is a Family Practice in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Erie Family Health Center, Inc, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
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

4747 N Kedzie Ave
Chicago, IL 60625-4420
Phone: (312) 666-3494
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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 036.162134 (IL)

Record details

NPI number1043834252
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 3, 2020
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Erie Family Health Center, Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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