Individual
ABIGAIL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 W IOWA ST, 1G, CHICAGO, IL 60622-5726
(847) 915-9103
Mailing address
2335 W IOWA ST, 1G, CHICAGO, IL 60622-5726
(847) 915-9103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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