Nelson, William

Nelson, William is an individual health care provider with primary practice located at 5101 Willow Springs Rd 2Nd Flr, La Grange IL 60525-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nelson, William can be contacted via phone (708) 245-8900.

Contact Information

Primary practice address
5101 Willow Springs Rd 2Nd Flr La Grange IL 60525-2600
Phone: (708) 245-8900
Fax: (708) 245-5604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36036866 Illinois

Profile Details

NPI number 1740239045
LBN Legal business name Nelson, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Sep 9th, 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 1740239045 NPPES
Illinois Other 545300 GROUP MEDICARE PTAN

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