Individual
LORI JANE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC, CNS
Contact information
Practice address
7435 W TALCOTT AVE, PIR, CHICAGO, IL 60631-3707
(773) 774-8000
(773) 792-5179
Mailing address
1708 N ORCHARD ST, TOWNHOUSE C, CHICAGO, IL 60614-2070
(312) 550-1238
(773) 792-5179
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
377.00584
IL
364S00000X
Clinical Nurse Specialist
Primary
209-005561
IL
Other
Enumeration date
09/20/2006
Last updated
02/04/2026
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