Individual
NATHAN DUANE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3909
(641) 799-8991
Mailing address
2320 E 93RD ST, CHICAGO, IL 60617-3909
(641) 799-8991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007239
IL
Other
Enumeration date
06/12/2019
Last updated
01/04/2022
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