Provider Demographics
NPI:1073195350
Name:MADAS, NIMISHA (MD)
Entity Type:Individual
Prefix:MS
First Name:NIMISHA
Middle Name:
Last Name:MADAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHWESTERN MEDICINE MCHENRY HOSPITAL
Mailing Address - Street 2:4201 MEDICAL CENTER DRIVE
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050
Mailing Address - Country:US
Mailing Address - Phone:815-344-5000
Mailing Address - Fax:
Practice Address - Street 1:4309 W MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:MCHNERY
Practice Address - State:IL
Practice Address - Zip Code:60050
Practice Address - Country:US
Practice Address - Phone:815-344-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program