Individual
DR. BRENT M NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 WAUKEGAN RD STE 104, BANNOCKBURN, IL 60015-1836
(847) 317-1717
(847) 317-9305
Mailing address
2101 WAUKEGAN RD STE 104, BANNOCKBURN, IL 60015-1836
(847) 317-1717
(847) 317-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036144667
IL
207R00000X
Internal Medicine Physician
125067282
IL
Other
Enumeration date
06/04/2015
Last updated
08/17/2021
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