Active NPIIndividual provider

Nino Idoidze, MD

Hospitalist in Park Ridge, Illinois

NPI Number1043487507
Practice location
1775 Dempster St Ste E592c, Park Ridge, IL 60068-1143
Fax
847-723-4378
Last updated
January 7, 2026

Nino Idoidze is a Hospitalist based in Park Ridge, IL. Nino Idoidze practices in Park Ridge, IL and has the professional credentials of MD. The NPI Number for Nino Idoidze is 1043487507 and holds a License No. 13824 (NH). The current practice location address for Nino Idoidze is 1775 Dempster St Ste E592c, Park Ridge, IL 60068-1143 and can be reached out via phone at 312-609-0300 and via fax at 847-723-4378.

Provider Profile Details

NPI Number
1043487507
Provider Name
Nino Idoidze
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1775 Dempster St Ste E592c, Park Ridge, IL 60068-1143
Phone Number
312-609-0300
Fax Number
847-723-4378
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
No
Provider Enumeration Date
May 14, 2008
Last Update Date
January 7, 2026
Certification Date
January 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1775 Dempster St Ste E592c
Park Ridge, IL 60068-1143
Zip
60068-1143
Phone Number
312-609-0300
Fax Number
847-723-4378
Park Ridge, IL 60068Get directions →

Provider Business Mailing Address Details

Address
29373 Network Pl
Chicago, IL 60673-1293
City
Chicago
State
IL
Zip
60673-1293
Phone Number
847-390-5900

License Information

License Number (1)
13824
License State (1)
NH
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
13824
License State (2)
NH
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
036-147850
License State (3)
IL
Taxonomy (3)
Hospitalist · 208M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nino Idoidze, MD?

The NPI number of Nino Idoidze, MD is 1043487507. It was assigned on May 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Nino Idoidze, MD?

Nino Idoidze, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in NH under license number 13824.

Where does Nino Idoidze, MD practice?

The practice location is 1775 Dempster St Ste E592c, Park Ridge, IL 60068-1143. The office can be reached at 312-609-0300 (phone) or 847-723-4378 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043487507 directly on the NPPES registry website.

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