| Doctor Name: | SENORA NELSON |
| NPI Number: | 1093855835 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 036106244 |
| Business Practice Address: | 901 E Sibley Blvd South Holland, IL - 604731166 |
| Business Phone Number: | 7732334100 |
| Business Fax Number: | 7732334055 |
| Mailing Address: | Po Box 288080, CHICAGO |
| State: | IL |
| Postal Code: | 606288080 |
| Phone Number: | 7732334100 |
| Fax Number: | 7732334055 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 06/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036106244 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |