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NPI Code Detail

MEDICARE: LORI J NELSON SLP

MEDICARE: LORI J NELSON SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146006745IL

General Provider Information

NPI Number : 1962733964
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI J NELSON SLP
Provider Business Mailing Address
First Line : 132 NEBRASKA ST
Second Line :
City : GENEVA
State : IL
Zip : 60134-2822
Country : US
Telephone Number : 630-204-3194
Fax Number :
Provider Business Practice Location Address
First Line : 3450 LACEY RD
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-5430
Country : US
Telephone Number : 630-743-4500
Fax Number : 623-806-7689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2010
Last Update Date : 03/02/2026

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Directions to “ LORI J NELSON SLP” Practice Location

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