Individual
NATHAN MAUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
215 E 1ST ST STE 310, DIXON, IL 61021-3190
(815) 285-5801
Mailing address
215 E 1ST ST STE 310, DIXON, IL 61021-3190
(815) 285-5801
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005866
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005866
IL
Other
Enumeration date
07/05/2018
Last updated
12/11/2024
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