Nicole Mae Bounphithack is a Chicago, Illinois based nurse practitioner. Active license number of Nicole Mae Bounphithack is 209.029416 in Illinois. Her current practice location is 675 N Saint Clair St Ste 19-100, Chicago. Patients can reach her at 312-664-3278 or can fax her at 312-695-5774. Nicole Mae Bounphithack is APRN, CNP and her NPI number (Unique professional ID assigned by NPPES) is 1912766791. Nicole Mae Bounphithack has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nicole Mae Bounphithack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Nicole Mae Bounphithack
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APRN, CNP
Practice Address:
675 N Saint Clair St Ste 19-100, Chicago, Illinois, 60611-5969
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1912766791
NPI Enumeration Date:
15 Mar, 2024
NPI Last Update On:
11 Aug, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Mae Bounphithack are as mentioned below.
License Number
Specialization
State
Status
209.029416
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Nicole Mae Bounphithack 675 N Saint Clair St Ste 19-100, Chicago, Illinois
Zip:
60611-5969
Phone Number:
312-664-3278
Fax Number:
312-695-5774
Patients can reach Nicole Mae Bounphithack at 675 N Saint Clair St Ste 19-100, Chicago, Illinois or can call to book an appointment on 312-664-3278.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.