| Heidi Azmy Nicola, MD | |
|
100 W 162nd St, South Holland, IL 60473-2003 | |
| (312) 609-0300 | |
| (312) 842-5897 |
| Full Name | Heidi Azmy Nicola |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 100 W 162nd St, South Holland, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417122763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036.128245 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036128245 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Hinsdale Hospital | Hinsdale, IL | Hospital |
| Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advance Inpatient Medicine Llc | 8022305697 | 37 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Advance Inpatient Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265989875 PECOS PAC ID: 8022305697 Enrollment ID: O20160926000797 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Azmy Nicola, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Heidi Azmy Nicola, MD 100 W 162nd St, South Holland, IL 60473-2003 Ph: (312) 609-0300 |
Derek A Melby, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0625 | |
Helen Misa Vazquez, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 312-609-0300 |