Individual
NICHOLAS C. NACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-052398
IL
2085R0202X
Diagnostic Radiology Physician
Primary
0101251881
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125-052398
LICENSE NUMBER
IL
Enumeration date
11/15/2007
Last updated
06/13/2012
Update your record
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