Nelson, Senora
Nelson, Senora is an individual health care provider with primary practice located at 901 E Sibley Blvd , South Holland IL 60473-1166. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Nelson, Senora can be contacted via phone (773) 233-4100.Contact Information
Primary practice address
901 E Sibley Blvd
South Holland IL 60473-1166
Phone: (773) 233-4100
Fax: (773) 233-4055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036106244 | Illinois |
Profile Details
| NPI number | 1093855835 |
|---|---|
| LBN Legal business name | Nelson, Senora |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jun 12th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093855835 | NPPES |
| Illinois | MEDICAID | 036106244 |
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