Organization
R.K. NATESH MD PC
Active
Other names
RAMANATHAPUR NATESHA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANNE LOWE (BILLER)
(708) 534-2168
Entity
Organization
Contact information
Practice address
1100 ESSINGTON RD, SUITE 6, JOLIET, IL 60435-8425
(815) 725-2600
(815) 725-2601
Mailing address
1100 ESSINGTON RD, SUITE 6, JOLIET, IL 60435-8425
(815) 725-2600
(815) 725-2601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036084014
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084014
—
IL
01
—
09921473
BCBS
IL
01
—
P00165337
MEDICARE RAILROAD
IL
Enumeration date
10/16/2007
Last updated
02/09/2011
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