Active NPI
Adrian Nica, M.D.
- Pediatrics Physician
- Mokena, IL
National Provider Identifier
1639288707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Practice address
- 19401 Wolf Rd
Mokena, IL 60448-1100 - Phone
- (708) 478-7000
- Fax
- (708) 478-7717
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | IL | Primary |
Addresses
Primary practice location
19401 Wolf Rd
Mokena, IL 60448-1100
Mailing address
19401 Wolf Rd
Mokena, IL 60448-1100
Phone (708) 478-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-082690 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Neoped Associates LTD | Past | Accepting new patients | |
| Advocate North Side Health Network | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Institutional Pharmacy
- Chicago, IL
- NPI 1114645470
-
- Specialist
- Oak Brook, IL
- NPI 1396792180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1639288707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 WOLF RD",
"city": "MOKENA",
"state": "IL",
"postal_code": "604481100",
"telephone_number": "708-478-7000",
"fax_number": "708-478-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 WOLF RD",
"city": "MOKENA",
"state": "IL",
"postal_code": "604481100",
"telephone_number": "708-478-7000",
"fax_number": "708-478-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICA",
"first_name": "ADRIAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mokena, IL
- Jennifer L Nabong, APN, FNP
- Phillip David Narcissi, DPM
- Stephanie Nash, LCSW
- Carlos Alberto Natera Garcia, SA-C
- New Normal Psychiatry & Wellness PLLC
- Glen John Nisivoccia, D C
- Juan Noguera, RSA
- Thomas R Norberg, D.C.
- Northern Light Counseling & Consultation LLC
- Northwestern Medical Faculty Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.