MEDICARE: NITIN NADKARNI 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	174400000X	Specialist	36097009	IL

General Provider Information

NPI Number	:	1841262961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NITIN NADKARNI M.D.

Provider Business Mailing Address
First Line	:	2222 WEBER RD
Second Line	:
City	:	CREST HILL
State	:	IL
Zip	:	60435-0928
Country	:	US
Telephone Number	:	815-741-9719
Fax Number	:	815-744-5137

Provider Business Practice Location Address
First Line	:	2222 WEBER RD
Second Line	:
City	:	CREST HILL
State	:	IL
Zip	:	60435-0928
Country	:	US
Telephone Number	:	815-741-9719
Fax Number	:	815-744-5137

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	04/16/2011

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