Mccammon-Chase, Nathalie D

Mccammon-Chase, Nathalie D is an individual health care provider with primary practice located at 720 Lake St Suite 101, Oak Park IL 60301-1424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mccammon-Chase, Nathalie D can be contacted via phone (708) 358-0791.

Contact Information

Primary practice address
720 Lake St Suite 101 Oak Park IL 60301-1424
Fax: (708) 948-7523
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036104978 Illinois

Profile Details

NPI number 1568409720
LBN Legal business name Mccammon-Chase, Nathalie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Apr 27th, 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 1568409720 NPPES
Illinois Other 1619414 BCBS GROUP
Illinois MEDICAID 036104978 BCBS GROUP
Illinois MEDICAID 3633309286030501 BCBS GROUP

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