Recchia, Nicholas G

Recchia, Nicholas G is an individual health care provider with primary practice located at 1111 Superior St Suite 304, Melrose Park IL 60160-4138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Recchia, Nicholas G can be contacted via phone (708) 786-7100.

Contact Information

Primary practice address
1111 Superior St Suite 304 Melrose Park IL 60160-4138
Phone: (708) 786-7100
Fax: (708) 786-7101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036078622 Illinois

Profile Details

NPI number 1033149455
LBN Legal business name Recchia, Nicholas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 24th, 2017 - about 7 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 1033149455 NPPES
Illinois Other 208886987 TAX IDENTIFICATION NUMBER

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