Eghtesadi, Nicole
Eghtesadi, Nicole is an individual health care provider with primary practice located at 751 N Rutledge St Ste 2300 , Springfield IL 62702-4968. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Eghtesadi, Nicole can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
751 N Rutledge St Ste 2300
Springfield IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-7438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 125084592 | Illinois |
Profile Details
| NPI number | 1487497509 |
|---|---|
| LBN Legal business name | Eghtesadi, Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2024 |
| Last updated | Jun 17th, 2024 - about last year |
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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