Individual
DR. KENT THOMAS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-3296
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-3296
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.123619
IL
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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