Jonathan I Nathan (NPI# 1134449374, PAC ID# 1658674320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1134449374 |
| PAC ID by PECOS | 1658674320 |
| Professional Enrollment ID | I20190820004070 |
| Full Name | Jonathan I Nathan |
| Organization Legal Name | ADVANCED SKIN AND MOHS SURGERY CENTER SC |
| Address |
8780 W Golf Rd Suite 303 Niles IL 60714-5611 |
| Phone Number | 7739995010 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 8022316967 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140224 | PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO |
| Address | Phone | Organization |
|---|---|---|
| 8780 W Golf Rd, Suite 303, Niles, IL 60714-5611 | 7739995010 | ADVANCED SKIN AND MOHS SURGERY CENTER SC |
| Organization Legal Name | ADVANCED SKIN AND MOHS SURGERY CENTER SC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madeline Jary | Physician Assistant | Advanced Skin and Mohs Surgery Center Sc | 12825 Red Arrow Hwy, Sawyer, MI 49125-9173 |
| Stephanie L Bayers | Dermatology | Advanced Skin and Mohs Surgery Center Sc | 2845 N Sheridan Rd, Suite 912, Chicago, IL 60657-6163 |
| Clarence W Brown Jr. | Dermatology | Advanced Skin and Mohs Surgery Center Sc | 12825 Red Arrow Hwy, Sawyer, MI 49125-9173 |
| Sandra G Witten | Physician Assistant | Advanced Skin and Mohs Surgery Center Sc | 2845 N Sheridan Rd, Suite 912, Chicago, IL 60657-6163 |
| Jeffrey E Karaban | Dermatology | Advanced Skin and Mohs Surgery Center Sc | 2845 N Sheridan Rd, Suite 912, Chicago, IL 60657-6163 |
| Street Address |
8780 W GOLF RD SUITE 303 |
| City | NILES |
| State | IL |
| Zip | 60714-5611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Bussell | Otolaryngology | Ear, Nose and Throat Specialists of Illinois Ltd | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5611 |
| Lauren Olivia Kelly | Qualified Audiologist | Ear, Nose and Throat Specialists of Illinois Ltd | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5611 |
| Bruce M Hertz | Internal Medicine | A and H Family Med PC | 8780 W Golf Rd, Suite 100, Niles, IL 60714-5611 |
| Mary Ann Jordan | Qualified Audiologist | Ear, Nose and Throat Specialists of Illinois Ltd | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5611 |
| Michael J Wasserman | Neurology | 8780 W Golf Rd, Suite 202, Niles, IL 60714-5608 | |
| Brittany Nguyen | Qualified Audiologist | Ear, Nose and Throat Specialists of Illinois Ltd | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5611 |
| Merle A Nathan | Qualified Audiologist | Ear, Nose and Throat Specialists of Illinois Ltd | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5611 |
| Martin E Anderson Jr. | Otolaryngology | Ear, Nose and Throat Specialists of Illinois Ltd | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5611 |
| Grace H Akiens | Family Medicine | A and H Family Med PC | 8780 W Golf Rd, Suite 100, Niles, IL 60714-5611 |
| David L Walner | Otolaryngology | Ear, Nose and Throat Specialists of Illinois Ltd | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5611 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chinnu Varkey | Nurse Practitioner | Midwest Post Acute Care LLC | 9777 N Greenwood Ave, Niles, IL 60714-1002 |
| Antoni A Piergies | General Practice | 9777 N Greenwood Ave, Niles Nursing and Rehabilitation Center LLC, Niles, IL 60714-1002 | |
| Ashley Cho | Nurse Practitioner | Midwest Post Acute Care LLC | 9777 N Greenwood Ave, Niles, IL 60714-1002 |
| Eunki Kim | Clinical Social Worker | Psychotherapy4u, Inc | 9777 N Greenwood Ave, Niles, IL 60714-1002 |
| Heain Chung | Clinical Social Worker | Psychotherapy4u, Inc | 9777 N Greenwood Ave, Niles, IL 60714-1002 |
| Monica C Sweeney | Nurse Practitioner | Minuteclinic Diagnostic of Illinois LLC | 9640 N Milwaukee Ave, Niles, IL 60714-1117 |
| Theresa S Andrews | Nurse Practitioner | Minuteclinic Diagnostic of Illinois LLC | 9640 N Milwaukee Ave, Niles, IL 60714-1117 |
| Peter Slavin | Chiropractic | Global Rehabilitation Clinic, Sc | 8269 W Golf Rd, Niles, IL 60714-1156 |
| Amit B Mehta | Pain Management | 8269 W Golf Rd, Niles, IL 60714-1156 | |
| Anthony J Lanzillotti | Physical Therapy | Global Rehabilitation Clinic, Sc | 8269 W Golf Rd, Niles, IL 60714-1156 |
| Find all physicians in zip 60714 | |||
| City | NILES |
| Zip Code | 60714 |
| Specialty | DERMATOLOGY |
| City + Specialty | NILES + DERMATOLOGY |
Please comment or provide details below to improve the information on Jonathan I Nathan.
| 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.