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1417607888
LUCAS NATHANIEL NELSON
CHICAGO, IL
NPI
1417607888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036171681)
Enumeration Date
2022-03-28
Last Update Date
2024-08-28
Business Address
LUCAS NATHANIEL NELSON
7435 W TALCOTT AVE
CHICAGO, IL 60631-3707
Phone number: 773-990-7921
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Mailing Address
LUCAS NATHANIEL NELSON
7435 W TALCOTT AVE
CHICAGO, IL 60631-3707
Phone number:
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