Richard Lawrence Nelson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036048329 Issued in IL

Practice address

1603 W. Taylor St.
Room 983
Chicago, IL 60612-4394

Phone

(224) 410-5592

Fax

(312) 996-0064

NPI assigned

Mar 23, 2018

Last updated

Mar 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1376047381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 WEST TAYLOR ST.",
            "address_2": "ROOM 983 EPIDEMIOLOGY/BIOMETRY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124394",
            "telephone_number": "224-410-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 W. TAYLOR ST.",
            "address_2": "ROOM 983",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124394",
            "telephone_number": "224-410-5592",
            "fax_number": "312-996-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RICHARD",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036048329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Fielden Nelson, LCSW
• Noah Lynn Nelson, MD
• Philip Nelson
• Princess Andriana Nelson
• Rebecca Lynne Nelson, A.M., L.C.S.W.
• Ruth Nelson
• Scott A. Nelson
• Scott E Nelson, DPT
• Sybille M Nelson
• Tessa Elizabeth Nelson, PT, DPT

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.