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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTINE THERESE NELSON, MD

Active Sole Proprietor

MARTINE THERESE NELSON, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in LISLE, Illinois. NPI 1669561478 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · LISLE, IL

Registration Details

NPI Number
1669561478
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2006 (19.879549442923 yrs)
Last Updated
Sep 23, 2008
License
036067467 (IL)
Sole Proprietor
Yes

Practice Information

Address
2745 MAPLE AVE
LISLE, IL, 605323280
Browse IL providers · Browse ZIP 60532
Phone
6307179600
Fax
6307175297
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.