Individual
NATHAN FEDORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, DEPT. OF RADIOLOGY, MAYWOOD, IL 60153-3328
(708) 216-1084
Mailing address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, DEPT. OF RADIOLOGY, MAYWOOD, IL 60153-3328
(708) 216-1084
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036128494
IL
Other
Enumeration date
05/29/2008
Last updated
05/30/2012
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