Nelson, Evan

Nelson, Evan is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Nelson, Evan can be contacted via phone (123) 456-7890.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Phone: (123) 456-7890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036128613 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036128613 Illinois

Profile Details

NPI number 1053585539
LBN Legal business name Nelson, Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Jul 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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