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Individual

NELLY PRESCILLA NORRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
(540) 564-7171
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
(540) 564-7171

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101250376
VA
2084P0800X
Psychiatry Physician
Primary
036142295
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881897486
VA
Enumeration date
06/09/2007
Last updated
06/09/2025
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