Individual
NELS CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 347-1151
Mailing address
600 S 13TH ST, PEKIN, IL 61554-4936
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
IL
Other
Enumeration date
09/28/2006
Last updated
07/13/2007
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