Antonatos, Miguel R

Antonatos, Miguel R is an individual health care provider with primary practice located at 4803 N Milwaukee Ave Suite B Unit #220, Chicago IL 60630. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Antonatos, Miguel R can be contacted via phone (973) 847-2280.

Contact Information

Primary practice address
4803 N Milwaukee Ave Suite B Unit #220 Chicago IL 60630
Phone: (973) 847-2280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036138839 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036138839 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036138839 Illinois

Profile Details

NPI number 1912285081
LBN Legal business name Antonatos, Miguel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2011
Last updated Jan 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912285081 NPPES
South Dakota Other 12428 SD LICENSE
South Dakota Other C0084 SD LICENSE
South Dakota Other ME147653 SD LICENSE
South Dakota Other 30482 SD LICENSE
South Dakota Other 412-320 SD LICENSE
South Dakota Other 41925 SD LICENSE
South Dakota Other 61076 SD LICENSE
South Dakota Other C177591 SD LICENSE
South Dakota Other D0090753 SD LICENSE
South Dakota Other EMC0000064 SD LICENSE
South Dakota Other 28569 SD LICENSE
South Dakota Other 33242 SD LICENSE
South Dakota Other 036138839 SD LICENSE
South Dakota Other 04-44257 SD LICENSE
South Dakota Other 20724 SD LICENSE
South Dakota Other 42.0015135 SD LICENSE
South Dakota Other 68586 SD LICENSE
South Dakota Other 85397 SD LICENSE
South Dakota Other 25MA10452000 SD LICENSE
South Dakota Other MD-47241 SD LICENSE
South Dakota Other MD61023368 SD LICENSE
South Dakota Other 12087673-1205 SD LICENSE
South Dakota Other 33998 SD LICENSE
South Dakota Other 37913 SD LICENSE
South Dakota Other 60557 SD LICENSE
South Dakota Other 101275982 SD LICENSE
South Dakota Other 17108 SD LICENSE
South Dakota Other 21180 SD LICENSE
South Dakota Other 311447 SD LICENSE
South Dakota Other CDR.0000338 SD LICENSE
South Dakota Other MC-0780 SD LICENSE

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