Individual
MR. THOMAS L NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.K.T.
Contact information
Practice address
1044 N WESTERN AVE, SUITE C, LAKE FOREST, IL 60045-1282
(847) 234-0404
Mailing address
33278 N ALGONQUIN DR, WILDWOOD, IL 60030-1901
(847) 223-4017
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1517
IL
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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