Nuccio, Nicholas Joseph

Nuccio, Nicholas Joseph is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1174. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Nuccio, Nicholas Joseph can be contacted via phone (847) 723-2210.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1174
Phone: (847) 723-2210
Fax: (847) 723-3532
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 105461 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-017203 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 7886-33 Wisconsin

Profile Details

NPI number 1568851194
LBN Legal business name Nuccio, Nicholas Joseph
Credentials MSNA RN CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2015
Last updated Jan 14th, 2026 - about 10 months 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 1568851194 NPPES
Wisconsin MEDICAID 100043257

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