Provider Demographics
NPI:1003018995
Name:NIHILL, PATRICIA (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:NIHILL
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:0N622 BOWDISH DR
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-3560
Mailing Address - Country:US
Mailing Address - Phone:630-715-2821
Mailing Address - Fax:
Practice Address - Street 1:949 W LIBERTY DR
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4846
Practice Address - Country:US
Practice Address - Phone:630-715-2821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190182981223G0001X
KY85371223G0001X, 122300000X
MODS 008701223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100044080Medicaid