Limberis-nelson Medical Group, S.c. | |
87 N Airlite #150 Elgin IL 60123 | |
(847) 697-5144 | |
(847) 697-8024 |
Full Name | Limberis-nelson Medical Group, S.c. |
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Speciality | Internal Medicine |
Location | 87 N Airlite, Elgin, Illinois |
Authorized Official Name and Position | William L Nelson (PRESIDENT) |
Authorized Official Contact | 8476975144 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Limberis-nelson Medical Group, S.c. 87 N Airlite #150 Elgin IL 60123 Ph: (847) 697-5144 | Limberis-nelson Medical Group, S.c. 87 N Airlite #150 Elgin IL 60123 Ph: (847) 697-5144 |
NPI Number | 1942491873 |
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Provider Enumeration Date | 08/06/2007 |
Last Update Date | 12/02/2010 |
Medicare PECOS PAC ID | 9931396819 |
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Medicare Enrollment ID | O20101203000800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942491873 | NPI | - | NPPES |
36091028 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036 091028 (Illinois) | Primary |
Provider Name | William L Nelson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326051640 PECOS PAC ID: 7810184702 Enrollment ID: I20101203000844 |
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