Healthcare Provider Details

I. General information

NPI: 1811951411
Provider Name (Legal Business Name): NIMIT KUMAR AGGARWAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12820 S RIDGELAND AVE SUITE B
PALOS HEIGHTS IL
60463-2388
US

IV. Provider business mailing address

12820 S RIDGELAND AVE STE B
PALOS HEIGHTS IL
60463-2389
US

V. Phone/Fax

Practice location:
  • Phone: 708-371-8006
  • Fax: 708-389-6630
Mailing address:
  • Phone: 708-371-8006
  • Fax: 708-389-6630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number036097747
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036-097747
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number81931
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number036097747
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: