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
Phone: (708) 358-0791
Fax: (708) 948-7523
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568409720 | NPPES |
Illinois | Other | 1619414 | BCBS GROUP |
Illinois | MEDICAID | 036104978 | BCBS GROUP |
Illinois | MEDICAID | 3633309286030501 | BCBS GROUP |
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