Kondelis, Nicholas

Kondelis, Nicholas is an individual health care provider with primary practice located at 2100 Clearwater Dr Ste 100 , Oak Brook IL 60523-1931. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Kondelis, Nicholas can be contacted via phone (630) 607-1000.

Contact Information

Primary practice address
2100 Clearwater Dr Ste 100 Oak Brook IL 60523-1931
Fax: (630) 607-1002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036070815 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036070815 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 036.070815 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036070815 Illinois

Profile Details

NPI number 1346282126
LBN Legal business name Kondelis, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 5th, 2024 - about 5 months 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 1346282126 NPPES
Illinois MEDICAID 036070815
Illinois Other 02233277

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