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

Kenneth J Nelson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1649262023

Kenneth J Nelson, MD is an Obstetrics & Gynecology Physician in Skokie, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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

4905 Old Orchard Ctr Ste 200
Skokie, IL 60077-1462
Phone: (847) 869-5800
Fax: (847) 869-9315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036065299 (IL)

Record details

NPI number1649262023
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address2801 Lakeside Dr Ste 209, Bannockburn, IL 60015-1271

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