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General NPI Number Information
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NPI Number | 1760529754
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Entity Type | Individual
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Provider Name | JOHN E NATHAN DDS MDS
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 815 COMMERCE SUITE 220
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City | OAK BROOK
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State | IL
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Zip | 60523
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Country | US
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Telephone | 630-574-7336
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Fax | 630-574-9331
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Provider Business Mailing Address
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Address Line | 5311 BENDING OAKS CT
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City | DOWNERS GROVE
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State | IL
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Zip | 60515
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Country | US
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Telephone | 630-964-8575
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Fax | 630-964-8692
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State | IL
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