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

Dr. Nicholas Marcel De la Rua, MD

Individual provider Pulmonary Disease Physician · NPI 1063074094

Dr. Nicholas Marcel De la Rua, MD is a Pulmonary Disease in Chicago, Illinois. Graduated from Louisiana State University School of Medicine in New Orleans in 2019, 7 years ago. Practices with Northwest Pulmonary Associates, SC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
IL
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7447 W Talcott Ave Ste 542
Chicago, IL 60631-3716
Phone: (773) 631-2180
Fax: (773) 631-5947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave Ste Mc6076, Chicago, IL 60637-1626 — (773) 702-9660

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 036.159353 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.075168 (IL)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 036.159353 (IL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 036159353 (IL)

Record details

NPI number1063074094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2019
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2019 (7 years in practice)
Group practice Northwest Pulmonary Associates, S.C. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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