Dr. Nicholas Kondelis
Anesthesiologist Pain Medicine
2100 Clearwater Dr Ste 100
Oak Brook
, Illinois 60523-1931
Dr. Nicholas Kondelis
Anesthesiologist Pain Medicine
2100 Clearwater Dr Ste 100
Oak Brook
, Illinois 60523-1931
(815) 834-7211
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About
Features
Specialties
- Anesthesiologist
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Nicholas Kondelis
- Po Box 129
- Plainfield, IL
- Zip : 60544-0129
- Fax : (815) 834-7211
- Phone : (800) 843-0355
Second Address
- Dr. Nicholas Kondelis
- 2100 Clearwater Dr Ste 100
- Oak Brook, IL
- Zip : 60523-1931
- Fax : (630) 607-1002
- Phone : (630) 607-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | 036070815 | IL |
| N | 2081P2900X | Pain Medicine | 036.070815 | IL |
National Provider Identifier
| NPI | 1346282126 |
|---|---|
| Provider Name | Dr. Nicholas Kondelis |
| First Address | Plainfield, IL 60544-0129 |
| Second Address | Oak Brook, IL 60523-1931 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 28/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02233277 | BLUE SHIELD OF ILLINOIS (01) | IL |
| 036070815 | (05) | IL |
| C48627 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.