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Individual

MR. PHILLIP L NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3001 GREEN BAY RD, 119, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
(224) 610-2958
Mailing address
2754 W FITCH AVE, CHICAGO, IL 60645-3004
(773) 764-6419

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
IL

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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