Search › Illinois › 207P00000X
Nicole Blum, MD
NPI 1285215616 · on the registry since 2021
Practice
- Address
- 611 W Park St
Urbana, IL 61801 - Phone
- (217) 383-3313
- Fax
- (217) 383-4014
- Organisation at this address
- Lifenet, Inc.
Carle Hospital
University Of Illinois
University Of Illinois
Carle Foundation HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 976
Additional practice sites
- 5841 S Maryland Ave # 5068, Chicago, IL
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
390200000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois