Individual
DR. NARAYAN S TATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1999 SPRINGBROOK SQUARE DR STE 101, NAPERVILLE, IL 60564-5946
(630) 378-4590
(630) 378-4592
Mailing address
PO BOX 9531, NAPERVILLE, IL 60567-0531
(630) 378-4590
(630) 378-4592
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036107147
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036107147
STATE MEDICAL LICENSE
IL
Enumeration date
05/21/2006
Last updated
12/19/2012
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