Individual
DR. NICHOLAS MARCEL DE LA RUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7447 W TALCOTT AVE STE 542, CHICAGO, IL 60631-3716
(773) 631-2180
(773) 631-5947
Mailing address
7447 W TALCOTT AVE STE 542, CHICAGO, IL 60631-3716
(773) 631-2180
(773) 631-5947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.075168
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.159353
IL
207RP1001X
Pulmonary Disease Physician
Primary
036.159353
IL
207RP1001X
Pulmonary Disease Physician
036159353
IL
Other
Enumeration date
06/29/2019
Last updated
07/23/2025
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