Provider / Organization | NPI | Date Certified |
---|---|---|
NICHOLAS KONDELIS | 1346282126 | 2024-07-05 |
Nicholas Peter Kondelis MD [M] graduated in 1983 from University Of Illinois College Of Med (chi/peor/rock/chm-urb) and primarily specializes in Pain Management.
Nicholas Kondelis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346282126. Registration indicates Nicholas Kondelis is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Anesthesiology) (Anesthesiology: Pain Medicine, ) (All Other Specialties & Provider Types, ) (Anesthesiology Pain Medicine, Allopathic & Osteopathic Physicians) (Anesthesiology, ) (Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation) (Physical Medicine & Rehabilitation: Pain Medicine, ) (Specialist Network, ) (Physical Medicine & Rehabilitation Pain Medicine, Allopathic & Osteopathic Physicians) (Physical Medicine & Rehabilitation, ) (Allopathic & Osteopathic Physicians, Pain Medicine) (Pain Medicine: Interventional Pain Medicine, ) (Specialist Network, ) (Pain Medicine Interventional Pain Medicine, Allopathic & Osteopathic Physicians) (Pain Medicine, )
PECOS ID | 8224920871 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Nicholas Kondelis M.D |
Practice Office Address | 2100 CLEARWATER DR STE 100 OAK BROOK, IL US |
Practice Office Telephone | 6306071000 |
Practice Office Fax | 6306071002 |
Mailing Address | PO BOX 129 PLAINFIELD, IL 605440129 US |
Business Telephone | 8008430355 |
Business Fax | 8158347211 |
Code | Practice | License No State |
---|---|---|
207L00000X | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians | 036070815
IL |
207LP2900X | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology: Pain Medicine All Other Specialties & Provider Types Anesthesiology Pain Medicine Allopathic & Osteopathic Physicians Anesthesiology | 036070815
IL |
2081P2900X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation: Pain Medicine Specialist Network Physical Medicine & Rehabilitation Pain Medicine Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | 036.070815
IL |
208VP0014X PRIMARY | Allopathic & Osteopathic Physicians Pain Medicine Pain Medicine: Interventional Pain Medicine Specialist Network Pain Medicine Interventional Pain Medicine Allopathic & Osteopathic Physicians Pain Medicine | 036070815
IL |
036070815 | MEDICAID | IL | |
02233277 | OTHER | IL | BLUE SHIELD OF |