| Brian Nickoloff, MD PHD | |
|
2160 S First Ave, (ems Bldg., Rm. 2209), Maywood, IL 60153 | |
| (708) 216-3250 | |
| (708) 216-2620 |
| Full Name | Brian Nickoloff |
|---|---|
| Gender | Male |
| Speciality | Pathology - Dermatopathology |
| Location | 2160 S First Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104806272 | NPI | - | NPPES |
| 36092377 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZD0900X | Pathology - Dermatopathology | 36092377 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Nickoloff, MD PHD 2160 S First Ave, (ems Bldg., Rm. 2209), Maywood, IL 60153 Ph: (708) 216-3250 | Brian Nickoloff, MD PHD 2160 S First Ave, (ems Bldg., Rm. 2209), Maywood, IL 60153 Ph: (708) 216-3250 |
Jason Kang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-2574 | |
Xianzhong Ding, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 847-687-6068 | |
Dr. Jodi J Speiser, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Department Of Pathology, Maywood, IL 60153 Phone: 414-688-7492 | |
Lifang Liu, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 513-584-3844 | |
Silver Daniel, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Building 101, Room 1739, Maywood, IL 60153 Phone: 708-216-9000 | |
Cagatay H Ersahin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Ems Bldg., Rm. 2209, Maywood, IL 60153 Phone: 708-216-3250 Fax: 708-216-2620 | |
Dr. Sharda Thakral, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-2689 |