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Individual

CARRIE N NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
1320 CHASE ST STE 1A, ALGONQUIN, IL 60102-9668
(847) 705-6765
(630) 359-4600
Mailing address
PO BOX 5670, VILLA PARK, IL 60181-5670
(847) 705-6765
(630) 359-4600

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004921
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016-004921
IL

Other

Enumeration date
07/22/2005
Last updated
06/06/2025
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