IndividualActive
Philip Nelson
NPI 1083768113 · Public Health Dentistry · Chicago, IL
Provider details
- NPI number
- 1083768113
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
6124 N Overhill Ave
Chicago, IL 60631-3817
Phone: (773) 763-8202
Approximate (ZIP-level) locationGet directions
Mailing address
6124 N Overhill Ave
Chicago, IL 60631-3817
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.