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NPI Code Detail

MEDICARE: JOHN W NIKOLEIT MD

MEDICARE: JOHN W NIKOLEIT MD
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
1207X00000XOrthopaedic Surgery Physician036091089IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003823212
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN W NIKOLEIT MD
Provider Business Mailing Address
First Line : 300 W BUTTERFIELD RD
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5017
Country : US
Telephone Number : 630-834-0491
Fax Number :
Provider Business Practice Location Address
First Line : 300 W BUTTERFIELD RD
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5017
Country : US
Telephone Number : 630-834-0491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 08/20/2012

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Directions to “ JOHN W NIKOLEIT MD” Practice Location

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