Padilla, Nicole Marie

Padilla, Nicole Marie is an sole proprietor health care provider with primary practice located at 1925 Huntley Rd , West Dundee IL 60118. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Padilla, Nicole Marie can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
1925 Huntley Rd West Dundee IL 60118
Phone: (815) 338-6600
Fax: (847) 426-5162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125064024 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036140735 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036140735 Illinois

Profile Details

NPI number 1457791741
LBN Legal business name Padilla, Nicole Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2013
Last updated Oct 28th, 2021 - about 3 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 1457791741 NPPES
Illinois Other 036140735 STATE LICENSE

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