Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Nickoloff, MDPHD

Individual provider Dermatopathology (Pathology) Physician · NPI 1104806272

Brian Nickoloff, MDPHD is a Dermatopathology (Pathology) Physician in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

2160 S First Ave (ems Bldg Rm 2209)
Maywood, IL 60153
Phone: (708) 216-3250
Fax: (708) 216-2620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology (Pathology) Physician (primary) Taxonomy 207ZD0900X · Licence 36092377 (IL)

Record details

NPI number1104806272
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESMarch 4, 2010
Mailing address2160 S First Ave, Ems Bldg., Rm. 2209), Maywood, IL 60153

Other providers in Maywood