Elbaridi, Nidal
Elbaridi, Nidal is an individual health care provider with primary practice located at 1921 S Michigan Ave , Chicago IL 60616-1603. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Elbaridi, Nidal can be contacted via phone (312) 414-1088.Contact Information
Primary practice address
1921 S Michigan Ave
Chicago IL 60616-1603
Phone: (312) 414-1088
Fax: (312) 920-1799
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036134543 | Illinois |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 261710 | Massachusetts |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 66155-20 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05005794A | Indiana |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036134543 | Illinois |
Profile Details
NPI number | 1780821264 |
---|---|
LBN Legal business name | Elbaridi, Nidal |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2009 |
Last updated | Jan 9th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780821264 | NPPES |
Illinois | MEDICAID | 036134543 |
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