BRIAN NICKOLOFF (MD PHD) – Dermatopathology (Pathology) Physician, NPI 1104806272

BRIAN NICKOLOFF (MD PHD) is a healthcare provider. based in Maywood, Illinois. specializing in Dermatopathology (Pathology) Physician. They hold the professional credentials MD PHD. They hold a License No. 36092377 (IL). The NPI Number for BRIAN NICKOLOFF (MD PHD) is 1104806272

Main info

Male
Name
BRIAN NICKOLOFF (MD PHD)
NPI
1104806272
Phone
(708) 216-3250
Address
2160 S FIRST AVE
Enumeration Date
17 January 2006
Last Update Date
4 March 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for BRIAN NICKOLOFF (MD PHD)

  • 2160 S FIRST AVE

    (EMS BLDG., RM. 2209)

    MAYWOOD, IL 60153

    Phone: (708) 216-3250

    Fax: (708) 216-2620

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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Frequently asked questions

How do I look up BRIAN NICKOLOFF (MD PHD) by NPI?
Use NPI 1104806272 when you need to reference BRIAN NICKOLOFF (MD PHD) in forms, claims, or directories.
Is BRIAN NICKOLOFF (MD PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BRIAN NICKOLOFF (MD PHD)?
The page reflects Dermatopathology (Pathology) Physician for BRIAN NICKOLOFF (MD PHD). Clinical services aligned with this taxonomy classification.
What location metadata exists for BRIAN NICKOLOFF (MD PHD)?
The page summarizes Maywood, Illinois for BRIAN NICKOLOFF (MD PHD); expand the address list for detail.
How can I contact BRIAN NICKOLOFF (MD PHD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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