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Contact Information

JOEL NILLES, DO
VIRGINIA & FRANKLIN STREETS
NORMAL, IL61761
 Phone: 309-827-4321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOEL NILLES · (Male)

NPI Number 1376571844
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/30/2006
Last updated 06/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-099319
  • IL License # 036099319
  • IL Medicaid 036099319-1
  • IL Other 05721369 BC/BS
Hospital affiliation(s)
  • BROMENN HEALTHCARE - (Acute Care)
    1304 FRANKLIN AVENUE
    NORMAL, IL 61761
  • CENTRAL DUPAGE HOSPITAL - (Acute Care)
    25 NORTH WINFIELD ROAD
    WINFIELD, IL 60190
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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