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

Nicolette Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760143762

Nicolette Smith is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (312) 227-4000
Show map & directions

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

Additional practice locations (1)

  • 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 — (312) 503-1851

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.009812 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760143762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2022
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing address240 E Huron St Ste 1-200 Pa Program, Chicago, IL 60611-2909

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