Provider Demographics
NPI:1598975336
Name:NEUBAUER, NIKKI LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:LYNN
Last Name:NEUBAUER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:6700 WEST 95TH STREET
Mailing Address - Street 2:SUITE 330
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2199
Mailing Address - Country:US
Mailing Address - Phone:708-422-3242
Mailing Address - Fax:708-422-3243
Practice Address - Street 1:6700 WEST 95TH STREET
Practice Address - Street 2:SUITE 330
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2199
Practice Address - Country:US
Practice Address - Phone:708-422-3242
Practice Address - Fax:708-422-3243
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2020-08-25
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Provider Licenses
StateLicense IDTaxonomies
IL036122426207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology