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

Nicole Eghtesadi, MD

Individual provider Dermatology Physician · NPI 1487497509

Nicole Eghtesadi, MD is a Dermatology Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
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

751 N Rutledge St Ste 2300
Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-7438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 125084592 (IL)

Record details

NPI number1487497509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing addressPo Box 19644, Springfield, IL 62794-9644

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