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

Lance Ronald Nelson, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1568813269

Lance Ronald Nelson, MD is a Pediatric Medicine in Chicago, Illinois. Graduated from Michigan State University College of Human Medicine in 2016, 10 years ago. Works from 2 locations. Licensed in Florida and Illinois.

Years since qualifying
10
Trained at
Michigan State University College of Human Medicine
Licensed in
FL, IL
In the registry since
2016
Specialties on file
2
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

1440 N Dayton St
Chicago, IL 60642-2644
Phone: (319) 384-7888
Fax: (319) 384-7899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908-7684 — (239) 343-6788

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 036.160891 (IL)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence ME175958 (FL)

Record details

NPI number1568813269
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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