Individual
ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
860 W 75TH ST, SUITE 108, NAPERVILLE, IL 60565-6192
(630) 357-4253
(630) 357-4254
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-013419
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070-013419
PT STATE LICENSE #
IL
Enumeration date
01/04/2007
Last updated
05/13/2014
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