Nelson, Mackenzi J.

Nelson, Mackenzi J. is an individual health care provider with primary practice located at 425 Huehl Rd #13, Northbrook IL 60062-2319. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Nelson, Mackenzi J. can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
425 Huehl Rd #13 Northbrook IL 60062-2319
Phone: (847) 504-5000
Fax: (847) 504-5015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X LL9464 Maryland
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 99040479A Indiana
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07001100A Indiana

Profile Details

NPI number 1962689380
LBN Legal business name Nelson, Mackenzi J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Jan 20th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962689380 NPPES
Arkansas Other P01242897 RAILROAD MEDICARE
Arkansas MEDICAID 199966717 RAILROAD MEDICARE

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