Healthcare Provider Details

I. General information

NPI: 1326858242
Provider Name (Legal Business Name): NIHAR RAMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 N SAINT CLAIR ST
CHICAGO IL
60611-2927
US

IV. Provider business mailing address

676 N SAINT CLAIR ST ARKES PAVILION, 12TH FLOOR
CHICAGO IL
60611-2927
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-8182
  • Fax: 312-695-4303
Mailing address:
  • Phone: 312-695-8182
  • Fax: 312-695-4303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number125.087772
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: