Individual provider · Type 1 NPI
Nicholas Emile Maldonado
Medical Physician Assistant · Grayslake, IL
NPI number
1992410757
Active
Practice location
307 Highland Rd
Grayslake, IL 60030-1228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 7547-23 (WI) |
Medical Physician Assistant: Definition to come...
About NPI 1992410757
Nicholas Emile Maldonado's National Provider Identifier is 1992410757, issued on Jan 17, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grayslake, IL. The record was last updated on Aug 14, 2023.