Individual
MR. NATHAN JENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
180 N MICHIGAN AVE STE 1605, CHICAGO, IL 60601-7478
(312) 201-1234
(312) 201-1202
Mailing address
180 N MICHIGAN AVE STE 1605, CHICAGO, IL 60601-7478
(312) 201-1234
(312) 994-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008383
IL
363A00000X
Physician Assistant
10003556A
IN
363AS0400X
Surgical Physician Assistant
085.008383
IL
Other
Enumeration date
07/15/2021
Last updated
03/25/2024
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