Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Evan Nelson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053585539

Dr. Evan Nelson, MD is a Cardiovascular Disease (Cardiology) in Park Ridge, Illinois. Graduated from Chicago College of Medicine and Surgery in 2008, 18 years ago. Practices with Peacehealth, a 99-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Trained at
Chicago College of Medicine and Surgery
Licensed in
IL
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1775 Dempster St
Park Ridge, IL 60068-1143
Phone: (123) 456-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036128613 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 036128613 (IL)

Record details

NPI number1053585539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESJuly 23, 2012
Mailing address1775 Dempster St, Park Ridge, IL 60068-1143

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 2008 (18 years in practice)
Group practice Peacehealth — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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