Individual
DR. CARMEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6420 W 127TH ST, SUITE 102, PALOS HEIGHTS, IL 60463-2269
(708) 597-3531
Mailing address
6420 W 127TH ST, SUITE 102, PALOS HEIGHTS, IL 60463-2269
(708) 597-3531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-023339
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245350321
NPI (CORPORATE)
IL
Enumeration date
07/07/2008
Last updated
07/07/2008
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