Nicole Eghtesadi, MD - Dermatology in Springfield, IL

Nicole Eghtesadi, MD is a Dermatology physician based in Springfield, Illinois. Nicole Eghtesadi is licensed to practice in Illinois (license number 125084592) and her current practice location is 751 N Rutledge St Ste 2300, Springfield, Illinois. She can be reached at her office (for appointments etc.) via phone at (217) 545-8000.

NPI number for Nicole Eghtesadi is 1487497509 and her current mailing address is Po Box 19644, Springfield, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487497509.

Contact Information

Nicole Eghtesadi, MD
751 N Rutledge St Ste 2300,
Springfield, IL 62702-4968
(217) 545-8000
(217) 545-7438

Map and Direction




Physician's Profile

Full NameNicole Eghtesadi
GenderFemale
SpecialityDermatology
Location751 N Rutledge St Ste 2300, Springfield, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487497509
  • Provider Enumeration Date: 06/17/2024
  • Last Update Date: 06/17/2024

Medical Identifiers

Medical identifiers for Nicole Eghtesadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487497509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 125084592 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Eghtesadi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Eghtesadi, MD
Po Box 19644,
Springfield, IL 62794-9644

Ph: (217) 545-8000
Nicole Eghtesadi, MD
751 N Rutledge St Ste 2300,
Springfield, IL 62702-4968

Ph: (217) 545-8000

Reviews and Comments


Dermatology Doctors in Springfield, IL

Bredesen Hartmann, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-545-7438
Mrs. Lucinda S Buescher, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 751 N Rutledge St, Springfield, IL 62702
Phone: 217-545-3821    Fax: 217-545-4485
Kortni Michell Kemper, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-545-7438
Elizabeth A Small, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1025 S 6th St, Springfield, IL 62703
Phone: 217-528-7541    
Dr. Adarsh A Kumar, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2040 Timberbrooke Drive, Springfield, IL 62702
Phone: 217-787-2511    Fax: 217-787-2513
Rebecca J Larson, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 751 N Rutledge St, Suite 2300, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-545-4485
Dr. Brittany Sweet, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1100 Centre West Dr, Springfield, IL 62704
Phone: 217-528-7541    

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