Individual
DR. MICHAEL EDWARD NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036124285
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
036124285
IL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
036-124285
IL
Other
Enumeration date
08/29/2008
Last updated
04/28/2021
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