NPI 1285814574 · live from the CMS NPI Registry
Linda Corrine Chicko, CPNP
Nurse Practitioner, Pediatrics in Dearborn, MI. National Provider Identifier 1285814574, active.
NPI record
| NPI | 1285814574 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 18101 Oakwood Blvd, Dearborn, MI 48124 |
| Practice phone | 313-593-7000 |
| Mailing address | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033 |
| Enumerated | November 5, 2007 |
| Last updated | April 28, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704239696 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.