Nilles, Joel

Nilles, Joel is an individual health care provider with primary practice located at Virginia & Franklin Streets , Normal IL 61761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Nilles, Joel can be contacted via phone (309) 827-4321.

Contact Information

Primary practice address
Virginia & Franklin Streets Normal IL 61761
Phone: (309) 827-4321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036099319 Illinois
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036-099319 Illinois

Profile Details

NPI number 1376571844
LBN Legal business name Nilles, Joel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jun 7th, 2018 - about 6 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 1376571844 NPPES
Illinois MEDICAID 036099319-1
Illinois Other 05721369

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