Individual
DR. NIDAL ELBARIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1921 S MICHIGAN AVE, CHICAGO, IL 60616-1603
(312) 414-1088
(312) 920-1799
Mailing address
1921 S MICHIGAN AVE, CHICAGO, IL 60616-1603
(312) 414-1088
(312) 920-1799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036134543
IL
207L00000X
Anesthesiology Physician
261710
MA
207L00000X
Anesthesiology Physician
66155-20
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036134543
IL
225100000X
Physical Therapist
05005794A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036134543
—
IL
Enumeration date
01/20/2009
Last updated
01/09/2024
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