Individual
DR. NICHOLAS IDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2615 N FORREST LN, ARLINGTON HEIGHTS, IL 60004-2241
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041409236
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209026518
IL
Other
Enumeration date
10/27/2022
Last updated
12/16/2025
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