Individual
MICHAEL NIKOLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 N RANDALL RD DEPT OF, ELGIN, IL 60123-2300
(847) 742-9800
Mailing address
9135 LAKESHORE DIVE, PLEASANT PRAIREI, WI 53158
(708) 275-3703
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036092238
IL
207L00000X
Anesthesiology Physician
84181-20
WI
207L00000X
Anesthesiology Physician
ME155769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161919966
BLUE SHIELD
IL
05
—
036092238 2
—
IL
01
—
050075664
RAILROAD MEDICARE
IL
01
—
131983700
US DEPT OF LABOR WC
IL
Enumeration date
01/02/2007
Last updated
12/17/2025
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