Fanter, Nathan Joseph

Fanter, Nathan Joseph is an individual health care provider with primary practice located at 396 Remington Blvd Ste 130 , Bolingbrook IL 60440-4309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fanter, Nathan Joseph can be contacted via phone (630) 759-1248.

Contact Information

Primary practice address
396 Remington Blvd Ste 130 Bolingbrook IL 60440-4309
Phone: (630) 759-1248
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036.128499 Illinois

Profile Details

NPI number 1194980607
LBN Legal business name Fanter, Nathan Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Mar 16th, 2021 - about 3 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 1194980607 NPPES
Illinois MEDICAID 036128499

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