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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548108590

Michael Raymond Nelson is a Student in an Organized Health Care Education/Training Program in Dekalb, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
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Practice location Address checks out

819 W Taylor St Apt 822
Dekalb, IL 60115-4054
Phone: (630) 200-9478
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1548108590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address819 W Taylor St Apt 822, Dekalb, IL 60115-4054

Other providers in Dekalb