Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN NICKOLOFF, MD PHD
ActiveDermatopathology (Pathology) · MAYWOOD, IL
Registration Details
- NPI Number
- 1104806272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2006 (20.29885772479 yrs)
- Last Updated
- Mar 4, 2010
- License
-
36092377 (IL)
Practice Information
- Address
-
2160 S FIRST AVE(EMS BLDG., RM. 2209)MAYWOOD, IL, 60153Browse IL providers · Browse ZIP 60153
- Phone
- 7082163250
- Fax
- 7082162620
- Primary Specialty
-
Dermatopathology (Pathology)
207ZD0900X
Other Dermatopathology (Pathology) Providers in MAYWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DARRYL ALAN OBLE | M.D., PH.D. | 1134224645 |
| DR. JODI J SPEISER | M.D. | 1023332467 |
| DR. THANCHANOK CHAIPRASIT | M.D. | 1902471683 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.