Individual
DR. NELSON MCLEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13259 S CENTRAL AVE, PALOS HEIGHTS, IL 60463-2601
(630) 239-6050
(708) 597-6243
Mailing address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6078
(630) 909-7000
(630) 909-7001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036.084437
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084437
—
IL
01
—
363236791
TAX ID #
IL
Enumeration date
12/01/2006
Last updated
03/07/2018
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