Nelson, Glenn

Nelson, Glenn is an individual health care provider with primary practice located at 7409 Woodridge Dr , Woodridge IL 60517-2249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nelson, Glenn can be contacted via phone (630) 241-1000.

Contact Information

Primary practice address
7409 Woodridge Dr Woodridge IL 60517-2249
Phone: (630) 241-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036065152 Illinois

Profile Details

NPI number 1508833500
LBN Legal business name Nelson, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 16th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508833500 NPPES
Illinois MEDICAID 036065152

Popular Providers