Martine Therese Nelson
MD | Pediatric Adolescent Medicine | Female
Martine Therese Nelson, MD is a Lisle, Illinois based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Martine Therese Nelson is
2745 Maple Ave, Lisle, Illinois - 60532-3280. She can be contacted on phone at
630-717-9600 and fax number 630-717-5297.
Martine Therese Nelson is a sole proprietor of her business.
NPI number (Unique professional ID) for Martine Therese Nelson is
1669561478 which was assigned by NPPES on 11 Oct, 2006 and it was last updated on 23 Sep, 2008.
Martine Therese Nelson license number is
036067467 for Pediatrics Adolescent Medicine (2080A0000X) in Illinois.
Martine Therese Nelson specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Martine Therese Nelson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Martine Therese Nelson |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Martine Therese Nelson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2745 Maple Ave
Lisle, IL, 60532-3280
United States |
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| Phone Number : | 630-717-9600 |
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| Fax Number : | 630-717-5297 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669561478 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Oct, 2006 |
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| Last Updated On : | 23 Sep, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Martine Therese Nelson are as mentioned. Primary taxonomy code for Martine Therese Nelson, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 036067467 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Martine Therese Nelson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 31601930 | Other | IL | BLUE CROSS BLUE SHEILD |
| 036067467 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2745 Maple Ave
Lisle, IL, 60532-3280
United States |
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| Phone Number : | 630-717-9600 |
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| Fax Number : | 630-717-5297 |
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Business Location:
Patients can refer following map for directions to
Martine Therese Nelson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.