Individual
NATHAN TAN NAVARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4822 S COTTAGE GROVE AVE STE 4-200, CHICAGO, IL 60615
(312) 926-3627
(312) 921-1051
Mailing address
4822 S COTTAGE GROVE AVE STE 4-200, CHICAGO, IL 60615
(312) 926-3627
(312) 921-1051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.080694
IL
207QA0505X
Adult Medicine Physician
Primary
036172742
IL
Other
Enumeration date
03/28/2022
Last updated
08/27/2025
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