Individual
JONATHAN LATTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125070161
IL
207RC0000X
Cardiovascular Disease Physician
036152547
IL
207RI0011X
Interventional Cardiology Physician
Primary
036152547
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
04/28/2026
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