person
Dr. Nicholas Nayak, MD
Primary Care Clinic/Center in Normal, Illinois
NPI 1457439317

Nicholas Nayak is a Primary Care Clinic/Center based in Normal, IL and is specialized in Primary Care. Nicholas Nayak practices in Normal, IL and has the professional credentials of MD. The NPI Number for Nicholas Nayak is 1457439317 and holds a License No. 36067066 (Illinois).

The current practice location address for Nicholas Nayak is 2010 Jacobssen Dr, Normal, IL and can be reached out via phone at 309-452-0995 and via fax at 309-862-0961.

Location: 2010 Jacobssen Dr, Normal, IL, 61761-6280
person
Provider Profile Details
NPI Number
1457439317
Provider Name
Nicholas Nayak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2010 Jacobssen Dr, Normal, IL, 61761-6280
Phone Number
309-452-0995
Fax Number
309-862-0961
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05732039 01 IL BCBS OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
2010 Jacobssen Dr
City
State
Zip
61761-6280
Phone Number
309-452-0995
Fax Number
309-862-0961
person
Provider Business Mailing Address Details
Address
2010 Jacobssen Dr
City
State
Zip
61761-6280
Phone Number
309-452-0995
Fax Number
309-862-0961
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
36067066 (Illinois)
Definition
Definition to come...
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