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General NPI Number Information
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NPI Number | 1093872822
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Entity Type | Individual
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Provider Name | MICHAEL NIKOLOV M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1425 N RANDALL RD DEPT OF
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City | ELGIN
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State | IL
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Zip | 60123-2300
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Country | US
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Telephone | 847-742-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 9135 LAKESHORE DIVE
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City | PLEASANT PRAIREI
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State | WI
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Zip | 53158
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Country | US
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Telephone | 708-275-3703
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 84181-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036092238
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME155769
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License Number State | FL
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