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Contact Information

NICHOLAS M DE LA RUA, MD
7447 W TALCOTT AVE STE 542
CHICAGO, IL60631-3716
 Phone: 773-631-2180
 Fax: 773-631-5947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NICHOLAS M DE LA RUA · (Male)

NPI Number 1063074094
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2019
Last updated 07/23/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.159353
  • IL License # 036159353
  • IL License # 125.075168
Hospital affiliation(s) Not Available
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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