PHILIP NELSON (NPI# 1083768113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083768113 |
| Entity Type | Individual |
| Full Name | PHILIP NELSON |
| Practice Address |
6124 N Overhill Ave Chicago IL 60631-3817 |
| Practice Telephone | 7737638202 |
| Mailing Telephone | 7737638202 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568570430 | Philip B Nelson | Physician Assistant | 2120 L St Nw Ste 450, Washington, DC 20037 | 2006-08-29 |
| 1790055168 | Philip K Nelson | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2012-01-03 |
| 1265748875 | Philip Reid Nelson | Pharmacist | 1100 Tunnel Road, Asheville, NC 28805 | 2010-08-20 |
| 1356429443 | Philip F. Nelson | Dermatology | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2006-11-02 |
| 1366485708 | Philip M Nelson | Emergency Medicine | 650 Addison Ave W, Twin Falls, ID 83301-5444 | 2006-06-14 |
| 1003868704 | Philip A Nelson | Physical Medicine & Rehabilitation | 1155 N Mayfair Rd, Spine Care Clinic At Plank Road, Milwaukee, WI 53226-3421 | 2006-05-17 |
| Street Address |
6124 N OVERHILL AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1386824498 | Manus Health Systems | Dentist | 676 N Michigan Ave Ste 3500, Chicago, IL 60611-2839 | 2007-11-06 |
| 1518956978 | Trina Marie Blunt | Dentist | 8100 S Luella Ave, Chicago, IL 60617-1152 | 2005-10-18 |
| 1114920964 | Steven Patrick Geiermann | Dentist | 5218 N Winthrop Ave, # 3n, Chicago, IL 60640-2306 | 2005-05-24 |
| 1568082030 | Phennatda Polpornvitoon | Dentist | 801 S Paulina St Rm 110, Chicago, IL 60612-7210 | 2020-04-24 |
| 1841785375 | Jeffrey S Wittmus Dds Ltd | Dentist | 5315 N Central Ave, Chicago, IL 60630-1302 | 2018-06-27 |
| 1023526852 | All Perfect Smiles of Beverly PC | Dentist | 10601 S Western Ave, Chicago, IL 60643-3100 | 2018-01-15 |
| 1992225627 | Susan Sunok Singer | Dentist | 2632 W Division St, Chicago, IL 60622-2850 | 2017-06-23 |
| 1689103228 | Alexis Linnebur | Dentist | 201 E Huron St, Chicago, IL 60611 | 2017-06-07 |
| 1346534740 | Albert Vo | Dentist | 9119 S Exchange Ave, Chicago, IL 60617-4225 | 2011-06-02 |
| Find all providers in CHICAGO | ||||
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| 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.