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John G Latall Md Sc
Medical Specialty Clinic/Center in Chicago, Illinois
NPI 1134485055

John G Latall Md Sc is a Medical Specialty Clinic/Center based in Chicago, IL and is specialized in Medical Specialty. John G Latall Md Sc practices in Chicago, IL. The NPI Number for John G Latall Md Sc is 1134485055 and holds a License No. (Illinois).

The current practice location address for John G Latall Md Sc is 2073 N Clybourn Ave, Chicago, IL and can be reached out via phone at 773-665-4016 and via fax at 773-360-6200.

Location: 2073 N Clybourn Ave, Chicago, IL, 60614-4003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134485055
Provider Name
John G Latall Md Sc
Credential
Provider Entity Type
Organization
Address
2073 N Clybourn Ave, Chicago, IL, 60614-4003
Phone Number
773-665-4016
Fax Number
773-360-6200
Provider Enumeration Date
04/04/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2073 N Clybourn Ave
City
Chicago
State
Illinois
Zip
60614-4003
Phone Number
773-665-4016
Fax Number
773-360-6200
person
Provider Business Mailing Address Details
Address
2073 N Clybourn Ave
City
Chicago
State
Illinois
Zip
60614-4003
Phone Number
773-665-4016
Fax Number
773-360-6200
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
036-084430 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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