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
Fax: (217) 545-7438
Website:

Health care specialties

SpecialtyCodeLicense #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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