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

Individual provider Emergency Medicine Physician · NPI 1063708196

Nicolas Kettaneh, MD is an Emergency Medicine Physician in Oak Lawn, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
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

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-5354
Fax: (708) 684-1028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 N Oak St, Hinsdale, IL 60521-3829 — (630) 856-9000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036.133560 (IL)

Record details

NPI number1063708196
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2011
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address29373 Network Pl, Chicago, IL 60673-1293

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