Individual
NELSON KANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5140 N. CALIFORNIA AVE, SUITE 740-GMP, CHICAGO, IL 60625-7066
(773) 989-3957
Mailing address
5140 N. CALIFORNIA AVE, SUITE 740-GMP, CHICAGO, IL 60625-7066
(773) 989-3957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036053165
IL
207RP1001X
Pulmonary Disease Physician
Primary
036053165
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053165
—
IL
Enumeration date
07/07/2005
Last updated
05/06/2021
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