Search › Illinois › 367500000X
Souphaphone Nicksic, CRNA
NPI 1740425701 · on the registry since 2008
Practice
- Address
- 1425 N Randall Rd
Elgin, IL 60123 - Phone
- (224) 783-1065
- Fax
- (224) 783-2852
- Organisation at this address
- Cepamerica Illinois Llp
Advocate Sherman Hospital
Advocate Sherman Hospital
Maternal Fetal Consultants, Sc
United Anesthesia Associates ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 115
Additional practice sites
- 2600 Greenbush St, Lafayette, IN
- 2475 Dean St, Saint Charles, IL
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-30
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