De La Rua, Nicholas Marcel

De La Rua, Nicholas Marcel is an individual health care provider with primary practice located at 5841 S Maryland Ave Ste Mc6076 , Chicago IL 60637-1626. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. De La Rua, Nicholas Marcel can be contacted via phone (773) 702-9660.

Contact Information

Primary practice address
5841 S Maryland Ave Ste Mc6076 Chicago IL 60637-1626
Phone: (773) 702-9660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036.159353 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036.159353 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.075168 Illinois

Profile Details

NPI number 1063074094
LBN Legal business name De La Rua, Nicholas Marcel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2019
Last updated May 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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