MEDICARE: DR. NINA H MEREL 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
1	207RG0100X	Gastroenterology Physician	036102428	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00020061	OTHER		MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1285616300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NINA H MEREL MD

Provider Business Mailing Address
First Line	:	2501 COMPASS RD
Second Line	:	SUITE 130
City	:	GLENVIEW
State	:	IL
Zip	:	60026-8000
Country	:	US
Telephone Number	:	847-677-1170
Fax Number	:	847-677-1233

Provider Business Practice Location Address
First Line	:	2501 COMPASS RD
Second Line	:	SUITE 130
City	:	GLENVIEW
State	:	IL
Zip	:	60026-8000
Country	:	US
Telephone Number	:	847-677-1170
Fax Number	:	847-677-1233

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	04/25/2017

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Directions to “ DR. NINA H MEREL MD” Practice Location

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