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

Stanton Nielsen Jr., DO

Individual provider Surgery Physician · NPI 1700311560

Stanton Nielsen Jr., DO is a General Surgery in Evanston, Illinois. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2017, 9 years ago. Practices with Kingman Healthcare Inc, a 180-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
IL
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700
Phone: (480) 338-1585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036.163773 (IL)

Record details

NPI number1700311560
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 28, 2017
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Kingman Healthcare Inc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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