John G Latall in Chicago - Allergy & Immunology
John G Latall - NPI 1487630364
John G Latall is a Allergy & Immunology in Chicago, Illinois. John G Latall practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for John G Latall is 1487630364. The last update date is 2021-12-14.
John G Latall's current location address is 2073 N Clybourn Ave, Chicago, Illinois. You can contact this provider via phone number 7736654016 and fax number 7733606200. The mailing address for John G Latall is 2073 N Clybourn Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John G Latall |
|---|---|
| Address | 2073 N Clybourn Ave, Chicago, Illinois |
| Phone Number | 7736654016 |
| Fax Number | 7733606200 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487630364 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 2073 N Clybourn Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606144003 |
| Phone Number | 7736654016 |
| Fax Number | 7733606200 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | 36084430 |
|
Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036084430 / 02 | IL | -- | |
| 1621679 | IL | BCBS OF IL |
Post Comment/ Review Below
What is the John G Latall's 1487630364?
The John G Latall's NPI (National Provider Identifier) Number is 1487630364. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the John G Latall located?
The John G Latall is located at 2073 N Clybourn Ave, Chicago, IL 606144003.
What is John G Latall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John G Latall is Allergy & Immunology, and the taxonomy code that categorizes this field of expertise is 207K00000X.
On what date did the John G Latall receive its 1487630364 assignment from the Centers for Medicare & Medicaid Services?
The John G Latall was assigned its 1487630364 by the Centers for Medicare & Medicaid Services on 2005-12-21.
When was the information pertaining to John G Latall most recently updated or revised?
The details related to John G Latall, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-14.
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