Individual provider · Type 1 NPI

Nicholas Oliva

Student in an Organized Health Care Education/Training Program · Dekalb, IL

NPI number 1003793258 Active

Practice location

1200 Stadium Dr N
Dekalb, IL 60115-2707

Call (414) 828-1187 Map

Mailing address

900 Crane Dr Unit S109
Dekalb, IL 60115-2118

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003793258

Nicholas Oliva's National Provider Identifier is 1003793258, issued on Aug 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dekalb, IL. The record was last updated on Aug 19, 2025.