BRIAN NICKOLOFF MD PHD – NPI #1104806272
Pathology

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

BRIAN NICKOLOFF is a pathologist located in MAYWOOD, IL. NPPES has assigned the NPI number 1104806272 to BRIAN NICKOLOFF on January 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207ZD0900X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Dermatopathology

The NPI profile was previously updated about 16 years ago on Mar 04, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIAN NICKOLOFF below.

NPI Profile for
BRIAN NICKOLOFF

NPI Number
1104806272
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRIAN NICKOLOFF
Credentials
MD PHD
Primary location
2160 S FIRST AVE
(EMS BLDG., RM. 2209)
MAYWOOD, IL 60153
Phone: (708) 216-3250 Fax: (708) 216-2620
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRIAN NICKOLOFF

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL36092377
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZD0900X
- Pathology / Dermatopathology (Primary)
IL 36092377

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.