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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366079329

Nicholas John Lanzotti, MD is an Urology in Maywood, Illinois. Graduated from Southern Illinois University School of Medicine in 2020, 6 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
6
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2020
Specialties on file
2
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

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (888) 584-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4032 Eagle Wing Rd, Springfield, IL 62711-8092 — (217) 622-8379

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 125.075755 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366079329
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESMay 30, 2020
Certification dateMay 30, 2020

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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