Individual provider · Type 1 NPI

Nicholas Joseph Comardelle, MD

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

NPI number 1841993318 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (504) 858-1710 Map

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 1841993318

Nicholas Joseph Comardelle, MD's National Provider Identifier is 1841993318, issued on Mar 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Jun 27, 2023.