Individual ProviderNikola DriscollNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address41 N Westgate Rd, Des Plaines, IL 60016-2254(773) 899-0483PECOS EnrollmentBased on the most recent information from CMS, provider Nikola Driscoll does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013565191Provider TypeIndividualFull NameDriscoll, NikolaGenderFemaleSole ProprietorYesEnumeration Date8/31/2019Last Updated8/6/2025Contact InformationPractice LocationPractice Address41 N Westgate Rd, Des Plaines, IL 60016-2254Phone(773) 899-0483FaxUnlisted FaxMailing LocationMailing Address1945 North Halsted St, 101, Chicago, IL 60614PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209032215Illinois