John G Latall


Address: 2073 N Clybourn Ave, Chicago, IL 60614-4003
Phone: 7736654016

John G Latall (NPI# 1487630364, PAC ID# 0648289934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.

Physician Overview

Nation Provider ID (NPI) 1487630364
PAC ID by PECOS 0648289934
Professional Enrollment ID I20060414000015
Full Name John G Latall
Address 2073 N Clybourn Ave
Chicago
IL 60614-4003
Phone Number 7736654016
Gender M
Credential MD
Medical School UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 1988
Primary Specialty ALLERGY/IMMUNOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140242 CENTRAL DUPAGE HOSPITAL

Other Locations

Address Phone Organization
2073 N Clybourn Ave, Chicago, IL 60614-4003 7736654016

Organization Information

Office Location

Street Address 2073 N CLYBOURN AVE
City CHICAGO
State IL
Zip 60614-4003

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Competitor

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City CHICAGO
Zip Code 60614
Specialty ALLERGY/IMMUNOLOGY
City + Specialty CHICAGO + ALLERGY/IMMUNOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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