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Individual

DAVID A NELLESSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2101 S ARLINGTON HEIGHTS RD, #108, ARLINGTON HEIGHTS, IL 60005-4185
(847) 439-4343
(847) 439-4510
Mailing address
2101 S ARLINGTON HEIGHTS RD, #108, ARLINGTON HEIGHTS, IL 60005-4185
(847) 439-4343
(847) 439-4510

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-071727
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-071727
IL
Enumeration date
10/10/2006
Last updated
01/11/2011
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