Search › Illinois › 122300000X
Robert Nidea
NPI 1790845725 · on the registry since 2006
Practice
- Address
- 16280 Prince Dr
South Holland, IL 60473 - Phone
- (708) 225-1866
- Organisation at this address
- Infinity Smile Ltd
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- TX, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois