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NAB MD SC
NPI 1174590624
Internal Medicine - Geriatric Medicine in Roselle, IL

Active since March 03, 2006
400 W LAKE ST, SUITE 111A, ROSELLE, IL 60172(630) 893-8300(630) 893-8324 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Nab Md Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAB MD SC (NPI 1174590624) is a healthcare organization registered as a geriatric medicine in Roselle, Illinois and active in the NPI registry since March 2006. The organization lists Nelson Arthur Blanco, President, as its authorized official.

NPPES Registry Identity

NPI1174590624
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameNAB MD SC
Location Address400 W LAKE ST, SUITE 111ARoselle, IL 60172
Mailing Address400 W Lake St, Suite 111aRoselle, IL 60172 · (630) 893-8300 · Fax (630) 893-8324
Phone(630) 893-8300
Fax(630) 893-8324
Organization SubpartNo
Authorized OfficialNelson Arthur BlancoPresident · (630) 893-8300
Enumeration DateMarch 3, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1174590624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X
400 W LAKE ST, Roselle, IL 60172
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Other Identifiers 1

Other210043Wps Group #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE MARIE SHELTON-ESPINOSA L.C.S.W.
Social Worker (Clinical)
400 W LAKE ST, SUITE 208
ROSELLE, IL 60172
Dupage County (630) 464-8890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nab MD Sc's NPI number?

The NPI number for Nab MD Sc is 1174590624. It was assigned to this organization in the NPPES registry on March 3, 2006.

Where is Nab MD Sc located?

Nab MD Sc is located at 400 W Lake St Suite 111A, Roselle, IL 60172. The listed phone number is (630) 893-8300.

What is Nab MD Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Nab MD Sc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.