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

Nicole Medina

Individual provider Occupational Therapist · NPI 1578349130

Nicole Medina is an Occupational Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

3319 N Elston Ave
Chicago, IL 60618-5811
Phone: (312) 733-6061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056.015619 (IL)

Record details

NPI number1578349130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2023
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023

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