Healthcare Provider Details

I. General information

NPI: 1083627897
Provider Name (Legal Business Name): JOHN JOSEPH NATALE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 01/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 N CALIFORNIA AVE SUITE 780
CHICAGO IL
60625-3645
US

IV. Provider business mailing address

31 LAKE ADALYN DRIVE
BARRINGTON IL
60010
US

V. Phone/Fax

Practice location:
  • Phone: 847-222-1443
  • Fax: 847-222-1445
Mailing address:
  • Phone: 847-222-1443
  • Fax: 847-222-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: