Nicholas Emile Maldonado
Nicholas Emile Maldonado is a Physician Assistant in Grayslake, Illinois. Qualified in 2023, 3 years ago. Practices with Vituity-Wisconsin Hm SC, a 29-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 3
- Licensed in
- WI
- In the registry since
- 2023
Practice location Address checks out
307 Highland RdGrayslake, IL 60030-1228
Phone: (847) 757-8037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 7547-23 (WI) |
|---|
Record details
| NPI number | 1992410757 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2023 |
| Last updated in NPPES | August 14, 2023 |
| Certification date | August 14, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Vituity-Wisconsin Hm Sc — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |