KENNETH J NELSON


Address: 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462
Phone: 8478695800

KENNETH J NELSON (NPI# 1649262023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649262023
Entity Type Individual
Full Name KENNETH J NELSON
Credential M.D.
Practice Address 4905 Old Orchard Ctr Ste 200
Skokie
IL 60077-1462
Mailing Address 2801 Lakeside Dr Ste 209
Bannockburn
IL 60015-1271
Practice Telephone 8478695800
Practice Fax Number 8478699315
Mailing Telephone 8475621410
Mailing Fax Number 8475620830
Enumeration Date 2005-08-22
Last Update Date 2020-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 036065299 IL Allopathic & Osteopathic Physicians

Other Providers KENNETH NELSON

NPI Name Taxonomy Address Enumeration
1649435231 Kenneth Roy Nelson Dentist 1505 Shepard Dr Ste 101, Santa Maria, CA 93454-7016 2008-07-23
1336293471 Kenneth E Nelson Family Medicine 2676 G Rd, Grand Junction, CO 81506-8395 2007-01-23
1548219694 Kenneth Scott Nelson Pharmacist 132 S. Main, Luck Pharmacy Inc, Luck, WI 54853 2006-05-08
1922650928 Kenneth Nelson Behavior Technician 28000 Woodward, Suite 100, Royal Oak, MI 48067 2019-07-10
1265728893 Kenneth Neal Nelson Internal Medicine 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 2011-06-22
1841376910 Kenneth Nelson Orthopaedic Surgery 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 2006-10-31
1538183900 Kenneth W. Nelson Dentist 1919 N Webb Rd, Wichita, KS 67206-3405 2006-07-27
1265454573 Kenneth Eugene Nelson Dentist 401 S Euclid Ave, Bay City, MI 48706-3205 2006-07-24
1700838745 Kenneth Nelson Family Medicine 2434 Wolf Rd, Westchester, IL 60154-5634 2006-05-17
1811945710 Kenneth Nelson Internal Medicine 1000 E Paris Ave Se, Suite 260, Grand Rapids, MI 49546-3680 2006-05-04

Office Location

Street Address 4905 OLD ORCHARD CTR STE 200
City SKOKIE
State IL
Zip Code 60077-1462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720070170 Marion G Jelcz Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2005-08-19
1821330747 Midwest Center for Women's Health Care, Ltd. Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2013-03-18
1922328699 Claudia Del Busto Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2010-06-04
1548421621 Kristin H Bennett Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2008-06-20
1801069455 Cheryl Ekkebus Axelrod Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2008-04-03
1659348605 Linda Holt Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2006-03-08
1225005275 Marcia Krause Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2006-03-08
1083681035 Laura Pearlman Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2006-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740835347 Tharani Theivakumar Dentist 5225 W. Touhy Ave, Skokie, IL 60077 2019-08-09
1780179838 Total Renal Care Inc Clinic/Center 8950 Gross Point Rd Ste 300, Skokie, IL 60077 2018-06-29
1811481070 Joseph Rubin Counselor 7929 Lincoln Ave Ste 202, Skokie, IL 60077 2018-06-20
1245721067 Lipnick Orthopaedics S.c. Orthopaedic Surgery 4856 Oakton Street, Skokie, IL 60077 2018-05-29
1376034991 Karen Bradley Nurse Practitioner 5143 Coyle Ave, Skokie, IL 60077 2018-05-21
1093217036 Arnold Arellano Pedorthist 5202 Old Orchard Road, N100, Skokie, IL 60077 2018-03-06
1043722408 Carolyn Mary Jarozewski I Registered Nurse 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 2017-10-25
1841718400 Katie Kluga Nurse Practitioner 9977 Woods Drive Suite 300, Skokie, IL 60077 2017-09-05
1265950091 Larry Asher Sidel Counselor 9530 Lamon Pl.apt 110, Skokie, IL 60077 2017-08-31
1578088639 Eleni Toumplis Pharmacist 4955 Dempster St, Skokie, IL 60077 2017-08-10
Find all providers in zip 60077

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144572066 Riley P Lloyd Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 330, Skokie, IL 60077 2012-10-03
1942263090 Judith A Cothran Obstetrics & Gynecology 4905 Old Orchard Center, Suite 200, Skokie, IL 60077-1462 2006-04-10
1265494041 Janet E Tomezsko Obstetrics & Gynecology 4709 Golf Rd., Suite 1275, Skokie, IL 60076 2006-04-05
1306805593 Elizabeth K Chung Obstetrics & Gynecology 8707 Skokie Blvd, Suite 216, Skokie, IL 60077-2269 2006-03-17
1720070170 Marion G Jelcz Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2005-08-19
1730574807 Nani Phillips Moss Obstetrics & Gynecology 9600 Gross Point Rd, Skokie, IL 60076-1214 2015-04-05
1821330747 Midwest Center for Women's Health Care, Ltd. Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2013-03-18
1487951190 Elizabeth Anne Marsh Obstetrics & Gynecology 9650 Gross Point Rd, Dept of Ob/gyn, Skokie, IL 60076-1214 2011-02-15
1922328699 Claudia Del Busto Obstetrics & Gynecology 4905 Old Orchard Ctr Ste 200, Skokie, IL 60077-1462 2010-06-04
1669602959 Prerna Suri Obstetrics & Gynecology 9977 Woods Dr, Suite 210, Skokie, IL 60077-1057 2009-07-21
Find all providers in SKOKIE

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City SKOKIE
Zip Code 60077

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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