Individual
DR. JONATHAN S MCGLOTHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 N WABASH AVE STE P2E, CHICAGO, IL 60611-3591
(312) 955-0071
Mailing address
15273 SLATEFORD RD, NOBLESVILLE, IN 46062-7712
(317) 267-9014
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01043767A
IN
207W00000X
Ophthalmology Physician
35.124274
OH
207W00000X
Ophthalmology Physician
41406
KY
207W00000X
Ophthalmology Physician
4301111306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200039810C
—
IN
Enumeration date
05/19/2006
Last updated
06/12/2019
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