Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104806272 Individual Practitioner Male Practitioner

Dr. Brian Nickoloff , MD PHD

Pathology - Dermatopathology • Maywood, IL

Professional Overview & Biography Verified Profile Summary

Dr. Brian Nickoloff, MD PHD is a registered healthcare professional specializing in Pathology - Dermatopathology in Maywood, IL. Practice services are available at 2160 S FIRST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2160 S First Ave
(Ems Bldg., Rm. 2209)

Maywood, IL 60153

Telephone 7082163250
Fax 7082162620
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Dermatopathology in Maywood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Maywood, IL (10 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pathology - Dermatopathology Primary Specialty

NUCC Taxonomy Code: 207ZD0900X

State License IL 36092377

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
36092377 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Flor De Maria Quiroz Moreyra , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023814456

Doctor of Medicine (M.D.)

Dr. Cagatay Ersahin , MD

Pathology - Anatomic Pathology

NPI 1053459412

Doctor of Medicine (M.D.)

Dr. Henry Brown , MD PHD

Pathology - Neuropathology

NPI 1124008487

MDPHD

Dr. Prabha Rajan , MD

Pathology - Anatomic Pathology

NPI 1205815305

Doctor of Medicine (M.D.)

Dr. Sherri Yong , MD

Pathology - Anatomic Pathology

NPI 1215916309

Doctor of Medicine (M.D.)

Dr. Paloma Aveni Strafile , MD

Student in an Organized Health Care Education/Training Program

NPI 1235077959

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2010

Registered at 2160 S FIRST AVE, (EMS BLDG., RM. 2209), MAYWOOD, IL 60153 (Tel: 7082163250)

📍
Updated Business Mailing Address March 04, 2010

Registered at 2160 S FIRST AVE, (EMS BLDG., RM. 2209), MAYWOOD, IL 60153 (Tel: 7082163250)

👤
Provider Name / Credentials Updated March 04, 2010

Recorded as BRIAN NICKOLOFF, MD PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2010

Pathology (License #36092377 in IL)

🟢
Initial NPI Registration & Enumeration January 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104806272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2006
Last Update: March 04, 2010
Sole Proprietor: No

Mailing Address

2160 S First Ave, (Ems Bldg., Rm. 2209)

Maywood, IL 60153

Phone: 7082163250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.