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Organization

BRENT M NATHAN MD PLLC

Active
Other names
North Shore Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT NATHAN MD (MD/OWNER)
(847) 380-0723
Entity
Organization

Contact information

Practice address
2101 WAUKEGAN RD STE 200, BANNOCKBURN, IL 60015-1800
(847) 317-1717
(847) 317-9305
Mailing address
2101 WAUKEGAN RD STE 200, BANNOCKBURN, IL 60015-1800
(847) 317-1717
(847) 317-9305

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/04/2025
Last updated
12/16/2025
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