MEDICARE: NIMIT K AGGARWAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036097747	IL
2	174400000X	Specialist	036097747	IL
3	207R00000X	Internal Medicine Physician	036-097747	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00246126	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01632457	OTHER	IL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811951411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIMIT K AGGARWAL M.D.

Provider Business Mailing Address
First Line	:	12820 S RIDGELAND AVE
Second Line	:	SUITE B
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-2388
Country	:	US
Telephone Number	:	708-371-8006
Fax Number	:	708-389-6630

Provider Business Practice Location Address
First Line	:	12820 S RIDGELAND AVE
Second Line	:	SUITE B
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-2388
Country	:	US
Telephone Number	:	708-371-8006
Fax Number	:	708-389-6630

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	07/12/2018

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