Individual
NICHOLAS PAUL GEORGELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1890 SILVER CROSS BLVD STE 425, NEW LENOX, IL 60451-9521
(815) 725-4918
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036146903
IL
208100000X
Physical Medicine & Rehabilitation Physician
4295
TN
208D00000X
General Practice Physician
SL1011
NV
Other
Enumeration date
05/12/2014
Last updated
11/25/2025
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