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
Phone: (630) 607-1000
Fax: (630) 607-1002
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346282126 | NPPES |
Illinois | MEDICAID | 036070815 | |
Illinois | Other | 02233277 |
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