Individual
KENNETH J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4905 OLD ORCHARD CTR STE 200, SKOKIE, IL 60077-1462
(847) 869-5800
(847) 869-9315
Mailing address
2801 LAKESIDE DR STE 209, BANNOCKBURN, IL 60015-1271
(847) 562-1410
(847) 562-0830
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036065299
IL
Other
Enumeration date
08/22/2005
Last updated
01/23/2020
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