IndividualActive
Michael Nelson, M.D.
NPI 1902054216 · Medical Toxicology (Emergency Medicine) Physician · Evanston, IL
Provider details
- NPI number
- 1902054216
- Entity type
- Individual
- Primary specialty
- Medical Toxicology (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036124285 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2650 Ridge Ave
Evanston Hospital
Evanston, IL 60201-1718
Phone: (847) 570-2114
Fax: (847) 570-1223
Approximate (ZIP-level) locationGet directions
Mailing address
2650 Ridge Ave
Evanston, IL 60201-1718
Registry dates
- Enumerated
- 2008-08-29
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.