BRIAN NICKOLOFF MD PHD
NPI 1104806272
Pathology - Dermatopathology in Maywood, IL

Q: What is Brian Nickoloff's NPI number?

The NPI number for Brian Nickoloff is 1104806272. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is Brian Nickoloff's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Q: When was this NPI record last updated?

The NPPES record for Brian Nickoloff was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2006

2160 S FIRST AVE, (EMS BLDG., RM. 2209), MAYWOOD, IL 60153(708) 216-3250(708) 216-2620 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian Nickoloff Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN NICKOLOFF MD PHD (NPI 1104806272) is an individual dermatopathology provider in Maywood, Illinois, licensed in Illinois (36092377) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1104806272

Entity TypeIndividualMale

Primary Taxonomy207ZD0900X

Provider Legal NameBRIAN NICKOLOFFCredential: MD PHD

Location Address2160 S FIRST AVE, (EMS BLDG., RM. 2209)Maywood, IL 60153

Mailing Address2160 S First Ave, (ems Bldg., Rm. 2209)Maywood, IL 60153 · (708) 216-3250 · Fax (708) 216-2620

Phone(708) 216-3250

Fax(708) 216-2620

Sole ProprietorNo

Enumeration DateJanuary 17, 2006

Last NPPES UpdateMarch 4, 2010

✔ NPI 1104806272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZD0900X

License✔ Licensed in IL · 36092377

Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

2160 S FIRST AVE, Maywood, IL 60153

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Other Identifiers 4

Medicare ID-Type UnspecifiedL80950IL

Medicare ID-Type Unspecified387510IL

Medicare UPINB47176

Medicaid36092377IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL JUDITH DAVIS PSYD

Psychiatry & Neurology (Psychiatry)

2160 S FIRST AVE, LOYOLA UNIVERSITY MEDICAL CENTER 101-1740
MAYWOOD, IL 60153

Cook County (708) 216-9000

FRANCIS HARFORD MD

Surgery

2160 S FIRST AVE, EMS BLDG., 3RD FLOOR
MAYWOOD, IL 60153

Cook County (708) 327-2647

SHERINE HANNA MD

Anesthesiology

2160 S FIRST AVE, BLDG., RM. 3102
MAYWOOD, IL 60153

Cook County (708) 216-8866

HOLLY KRAMER MD

Internal Medicine (Nephrology)

2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153

Cook County (708) 216-9000

TRAC XUAN NGHIEM MD

Emergency Medicine

2160 S FIRST AVE, EMS BLDG., RM. 2700
MAYWOOD, IL 60153

Cook County (708) 327-2700

MALIHA J SHAREEF MD

Pediatrics (Neonatal-Perinatal Medicine)

2160 S FIRST AVE, (MAGUIRE CENTER, RM. 3307)
MAYWOOD, IL 60153

Cook County (708) 216-4403

PATRICK FAHEY MD

Internal Medicine (Critical Care Medicine)

2160 S FIRST AVE, LUH-NORTH ENT., RM. 7604
MAYWOOD, IL 60153

Cook County (708) 216-5402

COLEEN NAPOLITANO DPM

Orthopaedic Surgery

2160 S FIRST AVE, (7511 LEMONT RD, DARIEN, IL. 60561)
MAYWOOD, IL 60153

Cook County (630) 985-4989

SEAN FORSYTHE MD

Internal Medicine (Critical Care Medicine)

2160 S FIRST AVE, (321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)
MAYWOOD, IL 60153

Cook County (708) 485-1020

CAGATAY H ERSAHIN MD

Pathology (Anatomic Pathology)

2160 S FIRST AVE, EMS BLDG., RM. 2209
MAYWOOD, IL 60153

Cook County (708) 216-3250

EVA BADING MD

Family Medicine

2160 S FIRST AVE, (1211 ROOSEVELT RD. )
MAYWOOD, IL 60153

Cook County (708) 531-5200

LOYOLA UNIVERSITY MEDICAL CENTER

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

2160 S FIRST AVE
MAYWOOD, IL 60153

Cook County (708) 216-9000

DAVID SCHILLING MD

Psychiatry & Neurology (Psychiatry)

2160 S FIRST AVE, (FAHEY BLDG., RM. 222)
MAYWOOD, IL 60153

Cook County (708) 216-3750

JAMES FORD MCDONNELL MD

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)

2160 S FIRST AVE, (LUH - NO. ENT., RM 2601)
MAYWOOD, IL 60153

Cook County (708) 216-3408

DANIEL SISBARRO MD

Internal Medicine

2160 S FIRST AVE, (LUH - NORTH ENT., RM. 7604)
MAYWOOD, IL 60153

Cook County (708) 216-8563

EVELYN SEGAL PHD

Psychologist

2160 S FIRST AVE, (FAHEY BLDG., RM. 222)
MAYWOOD, IL 60153

Cook County (708) 216-3750

FERDINAND S LEYA MD

Internal Medicine (Cardiovascular Disease)

2160 S FIRST AVE, LUH-TOWER ENTER., ROOM 6210
MAYWOOD, IL 60153

Cook County (708) 216-4225

JEFFREY PAUL SCHWARTZ MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2160 S FIRST AVE, 110-6246, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153

Cook County (708) 327-2487

HENRY BROWN MD PHD

Pathology (Neuropathology)

2160 S FIRST AVE, (EMS BLDG., RM. 2209)
MAYWOOD, IL 60153

Cook County (708) 216-3250

HOWARD GREISLER MD

Surgery (Vascular Surgery)

2160 S FIRST AVE, 101-1740, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153

Cook County (708) 216-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Nickoloff's NPI number?

The NPI number for Brian Nickoloff is 1104806272. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Brian Nickoloff located?

Brian Nickoloff practices at 2160 S First Ave (ems Bldg., Rm. 2209), Maywood, IL 60153. The listed phone number is (708) 216-3250.

What is Brian Nickoloff's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

When was this NPI record last updated?

The NPPES record for Brian Nickoloff was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.