BRIAN NICKOLOFF MD PhD
NPI 1104806272
Pathology, Dermatopathology in Maywood,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 17, 2006

Contact Information

2160 S First Ave
Maywood,
Post Code: 60153
Phone: (708) 216-3250
Fax: (708) 216-2620

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Brian Nickoloff Md Phd in Maywood - Pathology, Dermatopathology

Brian Nickoloff Md Phd is a Pathology, Dermatopathology in Maywood, . Brian Nickoloff Md Phd practices all healthcare services and medical treatments related to Pathology, Dermatopathology. The NPI Number for Brian Nickoloff Md Phd is 1104806272. The last update date is 2010-03-04.

Brian Nickoloff Md Phd's current location address is 2160 S First Ave, Maywood, . You can contact this provider via phone number (708) 216-3250 and fax number (708) 216-2620. The mailing address for Brian Nickoloff Md Phd is 2160 S First Ave, Maywood, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104806272
Provider Name
BRIAN NICKOLOFF MD PhD
Gender
Male
Entity Type
Individual
Location Address
2160 S First Ave, Maywood,
Location Phone
(708) 216-3250
Location Fax
(708) 216-2620
Mailing Address
2160 S First Ave, Maywood, Illinois(IL)
Mailing Phone
708-216-3250
Mailing Fax
708-216-2620
Enumeration Date
2006-01-17
Last Update Date
2010-03-04
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology, Dermatopathology

Taxonomy Code
207ZD0900X
Type
-
License No.
36092377
License State
Illinois (IL)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
36092377 MEDICAID (05) Illinois (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104806272
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416012214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 210416012214
2 + 1 + 0 + 4 + 1 + 6 + 0 + 1 + 2 + 2 + 1 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1104806272 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
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815-467-1905
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1083617070 NANCY ELLEN KLEIN
Individual
Dentist, General Practice 711 ORCHARD ST STE 1
DEERFIELD, Illinois (IL)
847-254-6244
1083617245 ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS
SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA
Organization
Psychiatric Unit 400 N PLEASANT AVE
CENTRALIA, Illinois (IL)
618-436-8000
1013910124 HOSPICE OF AMERICA, INC.
Organization
Hospice Care, Community Based 1N131 COUNTY FARM RD
WINFIELD, Illinois (IL)
630-682-3871