Nelson Escobar, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036.078717 Issued in IL

Practice address

26W171 Roosevelt Rd
Wheaton, IL 60187-6078

Phone

(630) 909-7000

Fax

(630) 909-7001

NPI assigned

Nov 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Neurosurgery & Spine Specialists, PC

  • Non-Pharmacy Dispensing Site
  • Warrenville, IL
  • NPI 1801140439
  NPD
• Rehab Medicine Clinic

  • Rehabilitation Hospital
  • Wheaton, IL
  • NPI 1710161591
  NPD (past)
• Rehabilitation Medicine Clinic, Inc.

  • Rehabilitation Practitioner
  • Wheaton, IL
  • NPI 1093818494
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1568530616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876078",
            "telephone_number": "630-909-7000",
            "fax_number": "630-909-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876078",
            "telephone_number": "630-909-7000",
            "fax_number": "630-909-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.078717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078717",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel Ruzicka Erickson, PSYD
• Kimberley Beth Ericson, MA
• Taylor Ericson, LCPC
• James W. Erlenborn, M.D.
• Suzanne B Erskine, DDS
• Mary Carmen Escobedo
• Thalia Schuyler Lashae Espinoza, PTA
• Matthew James Espitia
• Christine Esposito
• Allison Barbara Estes

• Physical Medicine & Rehabilitation Physician in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.