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

Nicole R Mott, DO

Individual provider Emergency Medicine Physician · NPI 1093732034

Nicole R Mott, DO is an Emergency Medicine in Tinley Park, Illinois. Qualified in 2002, 24 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone: (708) 364-3163
Fax: (708) 226-1969
Show map & directions

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

Additional practice locations (1)

  • 885 Roosevelt Rd Ste 100, Glen Ellyn, IL 60137 — (630) 384-6200

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036112820 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 36112820 (IL)

Record details

NPI number1093732034
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address885 Roosevelt Rd Ste 100, Glen Ellyn, IL 60137-6141

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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