Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 036.140770 | IL |
NPI | 1841450681 |
---|---|
Provider Name | Dr. Delphine Robotham Nelson |
First Address | Chicago, IL 60605-2867 |
Second Address | Chicago, IL 60611-2991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 13/12/2016 |