Nichole Rave, PA-C
Dermatologist in Bloomington, IL
Registered providerLicense # listed (IL)
Public-record details
- Address
- 1404 Eastland Dr Ste 204, Bloomington, IL 61701
- Phone
- (309) 662-8813
- Listed under
- Individual clinicians
- NPI
- 1386031045
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- Credentials listed
- PA-C
- License number on NPI record
- 085009019 (IL)
- NPI first issued
- Apr 21, 2015
- Years since NPI first issued
- 11 years (since 2015)
- License state on NPI record
- IL
- NPI record last updated
- May 24, 2024
Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Dermatologist Index does not vet, employ, recommend or guarantee dermatology practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Dermatologist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error
What these registry facts mean
Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Dermatology or the American Osteopathic Board of Dermatology. Ask whether the practice takes your insurance or Medicare plan before you book.