MEDICARE: PROF. NIKOL ANN MARGIOTTA DN

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	225400000X	Rehabilitation Practitioner		IL

General Provider Information

NPI Number	:	1962512020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. NIKOL ANN MARGIOTTA DN

Provider Business Mailing Address
First Line	:	6101 N SHERIDAN RD E #4B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660
Country	:	US
Telephone Number	:	312-351-0994
Fax Number	:	773-777-7055

Provider Business Practice Location Address
First Line	:	4337 W IRVING PK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641
Country	:	US
Telephone Number	:	773-205-6572
Fax Number	:	773-777-7055

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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