DR. NICHOLAS MARCEL DE LA RUA MD NPI 1063074094

NPI Information

  • NPI: 1063074094
  • Provider Name: DR. NICHOLAS MARCEL DE LA RUA, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7447 W TALCOTT AVE STE 542
    CHICAGO, IL
    ZIP 60631
  • Phone: (773) 631-2180

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NPI Details

DR. Nicholas Marcel De La Rua, MD is a pulmonary disease internal medicine in Chicago, IL with 7 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Nicholas Marcel De La Rua, MD NPI is 1063074094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2019

The provider's business location address is:

7447 W TALCOTT AVE STE 542
CHICAGO, IL
ZIP 60631-716
Phone: (773) 631-2180
Fax: (773) 631-5947

The NPI 1063074094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2019 and was last updated on 7/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease036.159353ILLINOISYes
2207R00000XInternal Medicine125.075168ILLINOISNo
3207RC0200XInternal MedicineCritical Care Medicine036.159353ILLINOISNo
4207RP1001XInternal MedicinePulmonary Disease036159353ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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