NPI
Nadine M Illichmann
NPI 1578049029
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DC
- Type
- Individual
- Enumeration date
- 2018-07-18
- Last updated
- 2026-07-14
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Specialties
Licenses
- License WI
- 5374-12
Location
- Practice location
- 117 Gardner St Ste A
- City
- Two Rivers WI
- Postal code
- 54241-3205
- Phone
- (920) 304-9374
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Two Rivers, WI. 290 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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