Gentile, Nicole M

Gentile, Nicole M is an individual health care provider with primary practice located at 22285 N Pepper Rd Ste 311 , Lake Barrington IL 60010-2541. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Gentile, Nicole M can be contacted via phone (847) 382-4410.

Contact Information

Primary practice address
22285 N Pepper Rd Ste 311 Lake Barrington IL 60010-2541
Phone: (847) 382-4410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 55286 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.134432 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036.134432 Illinois

Profile Details

NPI number 1417241944
LBN Legal business name Gentile, Nicole M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2011
Last updated Sep 28th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417241944 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID ENROLLED

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