1. Home
  2. Directory
  3. Illinois
  4. Lisle
  5. Pediatrics
  6. NPI Profile

MARTINE THERESE NELSON MD
NPI 1669561478
Pediatrics - Adolescent Medicine in Lisle, IL

Active since October 11, 2006CLIA 14D0421648 · Waiver
2745 MAPLE AVE, LISLE, IL 60532(630) 717-9600(630) 717-5297 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martine Therese Nelson Md NPPES

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

MARTINE THERESE NELSON MD (NPI 1669561478) is an individual adolescent medicine provider in Lisle, Illinois, licensed in Illinois (036067467) and active in the NPI registry since October 2006. She holds a CLIA Waiver certificate valid through September 23, 2026.

NPPES Registry Identity

NPI1669561478
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameMARTINE THERESE NELSONCredential: MD
Location Address2745 MAPLE AVELisle, IL 60532-3280
Mailing Address2745 Maple AveLisle, IL 60532-3280 · (630) 717-9600 · Fax (630) 717-5297
Phone(630) 717-9600
Fax(630) 717-5297
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1669561478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in IL · 036067467
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
2745 MAPLE AVE, Lisle, IL 60532
Open in Google Maps ↗

Other Identifiers 2

Medicaid036067467IL
Other31601930IL · Blue Cross Blue Sheild

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0421648

Martine Nelson MD · Lisle, IL
Active · expires Sep 23, 2026
CLIA Number14D0421648
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorMartine T. Nelson MD
Laboratory Phone(630) 717-9600
Laboratory LocationMartine Nelson MD2745 Maple Ave Suite 2A, Lisle, IL 60532
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MS. USHABEN GANDAJI CHAVDA MD
Pediatrics
2745 MAPLE AVE, SUITE 2A
LISLE, IL 60532
Dupage County (630) 717-9600
DANA ZERWER
Massage Therapist
2745 MAPLE AVE, SUITE 2D
LISLE, IL 60532
Dupage County (630) 778-6505
TIFFANY MURPHY
Massage Therapist
2745 MAPLE AVE, 2D
LISLE, IL 60532
Dupage County (630) 778-6505
MARTINE NELSON, MD, LLC
Pediatrics (Adolescent Medicine)
2745 MAPLE AVE, SUITE 2A
LISLE, IL 60532
Dupage County (630) 717-9600
MISS VIOLETA BARBOLYUK
Massage Therapist
2745 MAPLE AVE, 2D
LISLE, IL 60532
Dupage County (630) 778-6505

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 Martine Nelson's NPI number?

The NPI number for Martine Nelson is 1669561478. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Martine Nelson located?

Martine Nelson practices at 2745 Maple Ave, Lisle, IL 60532. The listed phone number is (630) 717-9600.

What is Martine Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Martine Nelson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0421648) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Martine Nelson was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.