DR. WILLIAM NELSON MD NPI 1740239045

NPI Information

NPI: 1740239045
Provider Name: DR. WILLIAM NELSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
5101 WILLOW SPRINGS RD
2ND FLR
LA GRANGE, IL
ZIP 60525
Phone: (708) 245-8900
Get Directions

DR. William Nelson, MD is a family medicine in La Grange, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. William Nelson, MD NPI is 1740239045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5101 WILLOW SPRINGS RD
2ND FLR
LA GRANGE, IL
ZIP 60525-600
Phone: (708) 245-8900
Fax: (708) 245-5604

The enumeration date for this NPI number is 5/6/2006 and was last updated on 3/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		36036866	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C40370	MEDICARE UPIN	ILLINOIS
2	036036866	MEDICAID	ILLINOIS
3	545300	OTHER	ILLINOIS	GROUP MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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