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MICHAEL JOSEPH NICK NPI 1497198873


NPI Information

NPI: 1497198873
Provider Name: MICHAEL JOSEPH NICK
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
1240 MEADOW RD
NORTHBROOK, IL
ZIP 60062
Phone: (847) 272-9516
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Michael Joseph Nick is an oral and maxillofacial surgery dentist in Northbrook, IL with 11 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Michael Joseph Nick NPI is 1497198873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY
Graduation Year:2013

The provider's business location address is:

1240 MEADOW RD
NORTHBROOK, IL
ZIP 60062-300
Phone: (847) 272-9516
Fax: (847) 957-9551

The NPI 1497198873 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/16/2013 and was last updated on 3/14/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery019031019ILLINOISYes

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: 4/28/2024

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