Provider Demographics
NPI:1205846367
Name:NORA, NANCY A (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:NORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:767 PARK AVE W
Mailing Address - Street 2:STE 260
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2400
Mailing Address - Country:US
Mailing Address - Phone:847-432-7222
Mailing Address - Fax:847-432-9360
Practice Address - Street 1:767 PARK AVE W
Practice Address - Street 2:STE 260
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2400
Practice Address - Country:US
Practice Address - Phone:847-432-7222
Practice Address - Fax:847-432-9360
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2020-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036074215207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036043276Medicaid
IL036043276Medicaid
E96589Medicare UPIN