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Individual
DR. NICHOLAS J TAPAS
Active
Individual
DR. NICHOLAS J TAPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036093506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS
IL
01
—
1033149844
CDPG GROUP NPI
IL
01
—
1730144171
NPI
IL
01
—
363149833
CDPG TAX IDENTIFICATION NUMBER
IL
01
—
3631498336019001
CDPG HFS PAYEE ID
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
920540003
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
04/19/2006
Last updated
04/15/2013
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