SENORA NELSON (NPI# 1093855835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093855835 |
| Entity Type | Individual |
| Full Name | SENORA NELSON |
| Credential | MD |
| Practice Address |
901 E Sibley Blvd South Holland IL 60473-1166 |
| Mailing Address |
Po Box 288080 Chicago IL 60628-8080 |
| Practice Telephone | 7732334100 |
| Practice Fax Number | 7732334055 |
| Mailing Telephone | 7732334100 |
| Mailing Fax Number | 7732334055 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036106244 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036106244 | 05 |
| Street Address |
901 E SIBLEY BLVD |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871672014 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2006-11-06 |
| 1295208254 | Hannah Elizabeth Wolf | Nurse Practitioner | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2019-01-02 |
| 1770093171 | Sandre Leona Crain | Nurse Practitioner | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2017-10-11 |
| 1134674989 | Cassandra Lynn Brooks | Registered Nurse | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2016-08-22 |
| 1912170457 | Christian Community Health Center | Clinic/Center | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2008-04-04 |
| 1346418423 | Christian Community Home Health Professionals, LLC | Home Health | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609198324 | Donald Raymond Eytcheson | General Practice | 17324 Greenwood Ave., South Holland, IL 60473-3544 | 2010-02-22 |
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| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
Please comment or provide details below to improve the information on SENORA NELSON.
| 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.