Christopher Nelson
Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).
NPI number1164042511
StatusActive
Last updated in NPPESApr 24, 2020
Details
- NPI
- 1164042511
- Entity type
- Individual (NPI-1)
- Name
- Christopher Nelson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2020
- Certification date
- Apr 24, 2020
- Last updated
- Apr 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1632 W 105th StChicago, IL 60643-2914
Phone 773-620-2507
Mailing address
1632 W 105th StChicago, IL 60643-2914
Phone 773-620-2507
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