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 with the weekly NPPES data releases published by CMS.

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: July 19, 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.

ANDREW JAY HOTALING MD

Otolaryngology (Pediatric Otolaryngology)

2160 S FIRST AVE, MAGUIRE CENTER 1870
MAYWOOD, IL 60153

Cook County (708) 216-9183

ELLEN GAYNOR MD

Internal Medicine (Hematology & Oncology)

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

Cook County (708) 216-3304

SUCHA NAND MD

Internal Medicine (Hematology & Oncology)

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

Cook County (708) 216-3304

KEVIN BARTON MD

Internal Medicine (Hematology & Oncology)

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

Cook County (708) 216-3304

MARTIN TOBIN MD

Internal Medicine (Critical Care Medicine)

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

Cook County (708) 216-5402

ELAINE ADAMS MD

Internal Medicine (Rheumatology)

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

Cook County (708) 216-3313

JOHN ROBINSON MD

Internal Medicine (Rheumatology)

2160 S FIRST AVE, (FAHEY BLDG., RM. 113)
MAYWOOD, IL 60153

Cook County (708) 216-3313

DAVID LEEHEY MD

Internal Medicine (Nephrology)

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

Cook County (708) 216-3306

SARADA REDDY MD

Radiology (Radiation Oncology)

2160 S FIRST AVE, (MAGUIRE CENTER, RM. 2944)
MAYWOOD, IL 60153

Cook County (708) 216-2575

MARY OLSON MD

Radiology (Diagnostic Radiology)

2160 S FIRST AVE, (MCGAW ENT., RM. 47)
MAYWOOD, IL 60153

Cook County (708) 216-5221

VIRGINIA MCDONALD MD

Radiology (Diagnostic Radiology)

2160 S FIRST AVE, (MCGAW BLDG, RM 47)
MAYWOOD, IL 60153

Cook County (708) 216-5221

DOUGLAS ANDERSON MD

Neurological Surgery

2160 S FIRST AVE, MAGUIRE CENTER, RM 1900
MAYWOOD, IL 60153

Cook County (708) 216-9000

LEONARD L VERTUNO MD

Internal Medicine (Nephrology)

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

Cook County (708) 216-3306

TERRENCE DEMOS MD

Radiology (Diagnostic Radiology)

2160 S FIRST AVE, MCGAW ENT., RM. 47
MAYWOOD, IL 60153

Cook County (708) 216-5221

KATHLEEN A WARD MD

Radiology (Diagnostic Radiology)

2160 S FIRST AVE, (MCGAW ENT., RM. 47)
MAYWOOD, IL 60153

Cook County (708) 216-5221

RICHARD COOPER MD

Radiology (Diagnostic Radiology)

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

Cook County (708) 216-9000

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

THOMAS SCHNELL MD

Internal Medicine (Gastroenterology)

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

Cook County (708) 216-9000

SOHRAB MOBARHAN MD

Internal Medicine (Gastroenterology)

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

Cook County (708) 216-9000

MICHAEL KLAMUT MD

Internal Medicine (Gastroenterology)

2160 S FIRST AVE, FAHEY BDLG, ROOM 007
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 with the weekly NPPES data releases published by CMS.