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MARTINE NELSON, MD, LLC
NPI 1790967016
Pediatrics - Adolescent Medicine in Lisle, IL

Active since November 28, 2007
2745 MAPLE AVE, SUITE 2A, LISLE, IL 60532(630) 717-9600 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martine Nelson, Md, Llc NPPES

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

MARTINE NELSON, MD, LLC (NPI 1790967016) is a healthcare organization registered as an adolescent medicine in Lisle, Illinois and active in the NPI registry since November 2007. The organization lists Martine T Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1790967016
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMARTINE NELSON, MD, LLC
Location Address2745 MAPLE AVE, SUITE 2ALisle, IL 60532-3280
Mailing Address2745 Maple Ave, Suite 2aLisle, IL 60532-3280 · (630) 717-9600
Phone(630) 717-9600
Organization SubpartNo
Authorized OfficialMartine T NelsonOwner · (630) 717-9600
Enumeration DateNovember 28, 2007
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1790967016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
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
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Other Identifiers 2

Medicaid036108202IL
Medicaid036067467IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 THERESE NELSON MD
Pediatrics (Adolescent Medicine)
2745 MAPLE AVE
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, MD, LLC's NPI number?

The NPI number for Martine Nelson, MD, LLC is 1790967016. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Martine Nelson, MD, LLC located?

Martine Nelson, MD, LLC is located at 2745 Maple Ave Suite 2A, Lisle, IL 60532. The listed phone number is (630) 717-9600.

What is Martine Nelson, MD, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Martine Nelson, MD, LLC 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.