Individual
LAURA NEILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 859-8700
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-8700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
085-003311
IL
363A00000X
Physician Assistant
Primary
085003311
IL
363AM0700X
Medical Physician Assistant
085003311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003311
IL STATE LICENSE
IL
Enumeration date
10/15/2008
Last updated
05/04/2026
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