Individual
NIKOLAOS ANDREAS DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 N HALSTED ST STE 509, CHICAGO, IL 60657-5194
(773) 296-3390
(773) 296-7531
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-5194
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036119424
IL
208600000X
Surgery Physician
M5118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192628902 (MDACC)
—
TX
01
—
8CV491 (MDACC)
BCBS
TX
01
—
8V4806
BCBS
FL
Enumeration date
10/05/2006
Last updated
02/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us