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1649262023
KENNETH J NELSON
SKOKIE, IL
NPI
1649262023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036065299)
Enumeration Date
2005-08-22
Last Update Date
2020-01-23
Business Address
KENNETH J NELSON M.D.
4905 OLD ORCHARD CTR STE 200
SKOKIE, IL 60077-1462
Phone number: 847-869-5800
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Mailing Address
KENNETH J NELSON M.D.
2801 LAKESIDE DR STE 209
BANNOCKBURN, IL 60015-1271
Phone number: 847-562-1410
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