Search › Illinois › 1835P0018X
Nicole Spore
NPI 1316651599 · on the registry since 2023
Practice
- Address
- 9219 N Lindbergh Dr
Peoria, IL 61615 - Phone
- (309) 692-0473
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-17
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