Individual
DR. JOHN PATRICK NANOLA UY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(201) 724-9190
Mailing address
510 W BELMONT AVE APT 101, CHICAGO, IL 60657-4622
(201) 724-9190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125072917
IL
207RI0200X
Infectious Disease Physician
58756
KY
Other
Enumeration date
08/07/2018
Last updated
07/19/2024
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