Individual
DR. ARTHUR CHARLES NIELSEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 E ONTARIO ST, SUITE 4209B, CHICAGO, IL 60611-4804
(312) 649-0570
(847) 441-7196
Mailing address
333 E ONTARIO ST, SUITE 4209B, CHICAGO, IL 60611-4804
(312) 649-0570
(847) 441-7196
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021609228
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/01/2006
Last updated
07/08/2007
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