Nockels, Russell P

Nockels, Russell P is an individual health care provider with primary practice located at 880 W Central Rd Ste 7200 , Arlington Heights IL 60005-2382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Nockels, Russell P can be contacted via phone (847) 618-4430.

Contact Information

Primary practice address
880 W Central Rd Ste 7200 Arlington Heights IL 60005-2382
Phone: (847) 618-4430
Fax: (847) 618-0786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036100723 Illinois

Profile Details

NPI number 1750368635
LBN Legal business name Nockels, Russell P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Oct 16th, 2023 - 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 1750368635 NPPES
Illinois MEDICAID 36100723

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