Individual
ERICA E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 N 9TH ST, 6TH FLOOR, SPRINGFIELD, IL 62702-5317
(217) 545-5117
(217) 545-7958
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036098741
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098741
—
IL
Enumeration date
11/08/2005
Last updated
12/10/2020
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