Provider Demographics
NPI:1649656463
Name:ARMSTRONG, NICOLE (MS, CGC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SPALDING DR STE 111
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6766
Mailing Address - Country:US
Mailing Address - Phone:630-626-6028
Mailing Address - Fax:630-548-6617
Practice Address - Street 1:120 SPALDING DR STE 111
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6766
Practice Address - Country:US
Practice Address - Phone:630-626-6028
Practice Address - Fax:630-548-6617
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL246.000194170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS