Individual
NATALIE ANN NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 W 177TH ST STE 1A, HAZEL CREST, IL 60429-2185
(708) 799-1100
(708) 647-6503
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085009152
IL
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
03/14/2022
Last updated
03/28/2024
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