Nelson, Philip

Nelson, Philip is an sole proprietor health care provider with primary practice located at 6124 N Overhill Ave , Chicago IL 60631-3817. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Nelson, Philip can be contacted via phone (773) 763-8202.

Contact Information

Primary practice address
6124 N Overhill Ave Chicago IL 60631-3817
Phone: (773) 763-8202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X Illinois

Profile Details

NPI number 1083768113
LBN Legal business name Nelson, Philip
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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

Popular Providers