Provider Demographics
NPI:1992016901
Name:LOVE, NICHOLAS ADAM (DO)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ADAM
Last Name:LOVE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1220 HOBSON RD
Mailing Address - Street 2:STE 104
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-8139
Mailing Address - Country:US
Mailing Address - Phone:630-416-1950
Mailing Address - Fax:630-646-5610
Practice Address - Street 1:1220 HOBSON RD
Practice Address - Street 2:STE 104
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8139
Practice Address - Country:US
Practice Address - Phone:630-416-1950
Practice Address - Fax:630-646-5610
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2020-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036131316207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine