Mackenzi J. Nelson in Northbrook - Podiatrist

Mackenzi J. Nelson - NPI 1962689380

Mackenzi J. Nelson is a Podiatrist in Northbrook, Illinois. Mackenzi J. Nelson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mackenzi J. Nelson is 1962689380. The last update date is 2014-01-20.

Mackenzi J. Nelson's current location address is 425 Huehl Rd, Northbrook, Illinois. You can contact this provider via phone number 8475045000 and fax number 8475045015. The mailing address for Mackenzi J. Nelson is 425 Huehl Rd, Northbrook, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mackenzi J. Nelson
Address 425 Huehl Rd, Northbrook, Illinois
Phone Number 8475045000
Fax Number 8475045015
Sole Proprietor N
Credentials D.P.M

NPI Number Detail

NPI Number 1962689380
Provider Enumeration Date 2008-01-28
Last Updated Date 2014-01-20

Provider Mailing Address Detail

Address 425 Huehl Rd
City Northbrook
State Illinois (IL)
Post Code 600622319
Phone Number 8475045000
Fax Number 8475045015

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 99040479A
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01242897 AR RAILROAD MEDICARE
199966717 AR --

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FAQs about Mackenzi J. Nelson

What is the unique 10-digit identification code issued to Mackenzi J. Nelson by the Centers for Medicare & Medicaid Services?

The Mackenzi J. Nelson has been assigned the NPI (National Provider Identifier) 1962689380 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Mackenzi J. Nelson is physically located?

The Mackenzi J. Nelson is situated at the following address: 425 Huehl Rd, Northbrook, IL 600622319.

What is Mackenzi J. Nelson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mackenzi J. Nelson is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1962689380 to Mackenzi J. Nelson?

The Centers for Medicare & Medicaid Services originally issued the 1962689380 to Mackenzi J. Nelson on 2008-01-28.

When was the information related to Mackenzi J. Nelson most recently updated or refreshed?

The details pertaining to the Mackenzi J. Nelson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-01-20.

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