Individual
MICHAEL A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15900 W 127TH ST STE 221B, LEMONT, IL 60439-2914
(312) 888-9999
Mailing address
15900 W 127TH ST STE 221B, LEMONT, IL 60439-2914
(312) 888-9999
(630) 863-7854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011572
IL
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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