Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS NAYAK, M.D.
Active Sole ProprietorDR. NICHOLAS NAYAK, M.D. is a Primary Care Clinic healthcare provider located in NORMAL, Illinois. NPI 1457439317 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · NORMAL, IL
Registration Details
- NPI Number
- 1457439317
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.803998415508 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36067066 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2010 JACOBSSEN DRNORMAL, IL, 617616280Browse IL providers · Browse ZIP 61761
- Phone
- 3094520995
- Fax
- 3098620961
- Primary Specialty
-
Primary Care Clinic
261QP2300X
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.