| Erik G Nelson, MD | |
|
222 S Greenleaf, Ste 106, Gurnee, IL 60031-5705 | |
| (847) 662-4442 | |
| (847) 662-4446 |
| Full Name | Erik G Nelson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 222 S Greenleaf, Gurnee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881706588 | NPI | - | NPPES |
| 036069733 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036069733 (Illinois) | Primary |
| Entity Name | Lake County Head And Neck Specialists S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851432157 PECOS PAC ID: 3476640459 Enrollment ID: O20071108000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Erik G Nelson, MD 222 S Greenleaf St, Ste 102, Gurnee, IL 60031-5705 Ph: (847) 662-4442 | Erik G Nelson, MD 222 S Greenleaf, Ste 106, Gurnee, IL 60031-5705 Ph: (847) 662-4442 |
Dr. Geoffrey Michael Schwartz, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 222 S Greenleaf St Ste 102, Gurnee, IL 60031 Phone: 847-662-4442 Fax: 847-662-4446 | |
Dr. Gregory J. Kruper, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 222 S Greenleaf St Ste 102, Gurnee, IL 60031 Phone: 847-662-4442 | |
Benjamin C Johnson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 222 S Greenleaf, Lake County Head & Neck Specialists Sc Suite 106, Gurnee, IL 60031 Phone: 847-662-4442 Fax: 847-662-4446 | |
Dr. Vibhakar Shantilal Shah, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 222 S Greenleaf St, Suite No. 109, Gurnee, IL 60031 Phone: 847-249-0167 Fax: 847-249-0717 | |
Narendra M Desai, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 222 S Greenleaf St Ste 102, Gurnee, IL 60031 Phone: 847-662-4442 Fax: 847-662-4446 |