Individual
DR. NICHOLAS JOSEPH SPEZIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 S YORK RD, SUITE 3200, ELMHURST, IL 60126-5626
(630) 758-8777
Mailing address
1200 S YORK RD, SUITE 3200, ELMHURST, IL 60126-5626
(630) 758-8777
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
036-087251
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24000-7639
MEDICARE RR
IL
01
—
24000-8019
MEDICARE RR
IL
Enumeration date
07/15/2006
Last updated
05/13/2008
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