Nelson, Michael N.

Nelson, Michael N. is an individual health care provider with primary practice located at 1653 West Congress Parkway 1228 Kellogg, Chicago IL 60612. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Nelson, Michael N. can be contacted via phone (312) 942-6656.

Contact Information

Primary practice address
1653 West Congress Parkway 1228 Kellogg Chicago IL 60612
Phone: (312) 942-6656
Fax: (312) 942-8592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071.003181 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-003181 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071.003181 Illinois
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 071.003181 Illinois

Profile Details

NPI number 1144457326
LBN Legal business name Nelson, Michael N.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated May 12th, 2017 - about 9 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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