John D Nicolas (NPI# 1417940917, PAC ID# 6608803085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1417940917 |
| PAC ID by PECOS | 6608803085 |
| Professional Enrollment ID | I20050719000121 |
| Full Name | John D Nicolas |
| Organization Legal Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Address |
1704 Maple Ave Evanston IL 60201-3134 |
| Phone Number | 3129266146 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4587576814 |
| Number of Group Practice Members | 2103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140281 | NORTHWESTERN MEMORIAL HOSPITAL |
| 140062 | PALOS COMMUNITY HOSPITAL |
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 675 N St Clair, Chicago, IL 60611-5975 | NORTHWESTERN MEDICAL FACULTY FOUNDATION | |
| 1704 Maple Ave, Evanston, IL 60201-3134 | 3129266146 | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Organization Legal Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Physicians | 2248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle A Young | Registered Dietitian Or Nutrition Professional | Northwestern Medical Faculty Foundation | 800 N Westmoreland Rd, Suite 201, Lake Forest, IL 60045-1687 |
| Guadalupe Rodriguez | Nurse Practitioner | Northwestern Medical Faculty Foundation | 350 S Waukegan, Suite 150, Deerfield, IL 60015-5239 |
| Walter J Liszewski | Dermatology | Northwestern Medical Faculty Foundation | 676 N St Clair, 1600 Dept of Dermatology, Chicago, IL 60611-2997 |
| Keith P Leitzen | Otolaryngology | Northwestern Medical Faculty Foundation | 800 N W Moreland Rd, Suite 102, Lake Forest, IL 60045-1687 |
| Joshua G Cahan | Neurology | Northwestern Medical Faculty Foundation | 675 N Saint Clair St, Suite 20 100, Chicago, IL 60611-5970 |
| Jennifer Lee | Ophthalmology | Northwestern Medical Faculty Foundation | 259 E Erie, Lavin 1520, Chicago, IL 60611-2987 |
| David S Burstein | Internal Medicine | Northwestern Medical Faculty Foundation | 676 N Saint Clair, Chicago, IL 60611-2927 |
| Richard R Clark | Family Medicine | Northwestern Medical Faculty Foundation | 1475 E Belvidere Rd, Pavilion C Suite 385, Grayslake, IL 60030-2026 |
| Edward J Tanner Iii | Gynecological Oncology | Northwestern Medical Faculty Foundation | 250 E Superior, 2304 Nwmff Prent Wmn Hosp, Chicago, IL 60611-2914 |
| Katie Marie Reidy | Physician Assistant | Northwestern Medical Faculty Foundation | 350 S Waukegan Rd, Deerfield, IL 60015-5239 |
| Street Address |
1704 MAPLE AVE |
| City | EVANSTON |
| State | IL |
| Zip | 60201-3134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seema Singhal | Hematology/oncology | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Janusz M Dudek | Internal Medicine | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Shibani C Munshi | Family Medicine | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Daniel R Schimmel Jr. | Cardiovascular Disease (cardiology) | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Cynthia A Lagone | Internal Medicine | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Regina M Stein | Hematology/oncology | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Chelsea D Campbell | Physician Assistant | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Susan L Alt | Internal Medicine | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Sara R Berg | Internal Medicine | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Jessica W Kiley | Obstetrics/gynecology | Northwestern Medical Faculty Foundation | 1704 Maple Ave, Evanston, IL 60201-3134 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Therese J Given | Clinical Social Worker | 3008 Central St, Evanston, IL 60201-1101 | |
| Kristina Byzyka | Optometry | Rosin Optical Co Inc | 2914 Central St, Evanston, IL 60201-1237 |
| George Pawlyk | Optometry | Rosin Optical Co Inc | 2914 Central St, Evanston, IL 60201-1237 |
| Kevin Pfeiffer | Optometry | Rosin Optical Co Inc | 2914 Central St, Evanston, IL 60201-1237 |
| Jerome P Wagner | Psychologist, Clinical | 2603 Broadway, Evanston, IL 60201-1501 | |
| Robert Lee Behrends | Podiatry | 1713 Central St, Evanston, IL 60201-1507 | |
| Todd S Newberger | Internal Medicine | 1713 Central St, Evanston, IL 60201-1507 | |
| Alan A Harvey | Maxillofacial Surgery | 2650 Ridge Ave, Evanston, IL 60201-1700 | |
| Adela Kola | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 2650 Ridge Ave, Evanston, IL 60201-1718 |
| Lynn K Martin | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 2650 Ridge Ave, Evanston, IL 60201-1718 |
| Find all physicians in zip 60201 | |||
| City | EVANSTON |
| Zip Code | 60201 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | EVANSTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on John D Nicolas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.