Douglas Dirk Nelson, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Hometown, IL
NPI 1003868787 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1003868787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Practice address
- 8735 S Merrion LN
Hometown, IL 60456-1133 - Phone
- (708) 425-1150
- Fax
- (708) 425-9454
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | IL | Yes |
Addresses
Primary practice location
8735 S Merrion LN
Hometown, IL 60456-1133
Mailing address
2850 S Wabash Ave
Suite 100
Chicago, IL 60616-2955
Phone (312) 842-4600
Other providers in Hometown, IL
- Shelly M McElroy
- Erik Jon McLaughlin
- Robert R Miller
- Michael Edward Minnella
- Mehak D. Nangrani
- Audrey Nowinski
- Kaylee Orr
- Amiel George Pappas
- Binitabahen A Patel
- David Michael Podrebarac
All providers in Hometown, IL · Orthopaedic Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.