Individual
BORISLAV M NIKOLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036103283
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103283
—
IL
01
—
10593690
CAQH
—
01
—
364271985-23
JOHN DEERE
—
01
—
4815127
BC/BS
—
Enumeration date
09/26/2006
Last updated
11/27/2023
Update your record
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