Provider Demographics
NPI:1689203838
Name:TWIGG, NAOMI MAE (FNP-BC, RN)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:MAE
Last Name:TWIGG
Suffix:
Gender:F
Credentials:FNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 N WASHTENAW AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-7818
Mailing Address - Country:US
Mailing Address - Phone:773-573-3797
Mailing Address - Fax:
Practice Address - Street 1:5900 N GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-3312
Practice Address - Country:US
Practice Address - Phone:773-534-2365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277.004345363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care