Individual
NELSON UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1420 RENAISSANCE DR, PARK RIDGE, IL 60068-1330
(847) 296-6161
Mailing address
9007 LA CROSSE AVE APT 1N, SKOKIE, IL 60077-1734
(224) 456-2832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025001
IL
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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