Individual
RICHARD LAWRENCE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1603 W. TAYLOR ST., ROOM 983, CHICAGO, IL 60612-4394
(224) 410-5592
(312) 996-0064
Mailing address
1603 WEST TAYLOR ST., ROOM 983 EPIDEMIOLOGY/BIOMETRY, CHICAGO, IL 60612-4394
(224) 410-5592
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036048329
IL
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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