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Individual

DR. KENNETH NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2434 WOLF RD, WESTCHESTER, IL 60154-5634
(630) 856-6865
(630) 856-6813
Mailing address
911 N ELM ST, SUITE 215, HINSDALE, IL 60521-3634
(630) 856-6865
(630) 856-6813

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36069123
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36069123
IL
Enumeration date
05/17/2006
Last updated
03/24/2021
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