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NATHAN J FANTER
2875 W 19TH ST CHICAGO IL 606233501
NATHAN J FANTER is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1194980607. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 9537351820. The primary specialty is ORTHOPEDIC SURGERY. The organization is SAINT ANTHONY HEALTH AFFILIATES. The address is 2875 W 19TH ST, , CHICAGO, IL, 606233501. The zip code is 606233501.
|Nation Provider ID||1194980607|
|PAC ID by PECOS||9537351820|
|Professional Enrollment ID||I20120313000979|
|Name||NATHAN J FANTER|
|Medical School Name||OTHER|
|Primary Specialty||ORTHOPEDIC SURGERY|
|All secondary specialties|
|Organization Name||SAINT ANTHONY HEALTH AFFILIATES|
|Group Practice PAC ID||1254321474|
|Number of Group Practice members||54|
|Address||2875 W 19TH ST, , CHICAGO, IL, 606233501|
|Hospital affiliation LBN||SAINT ANTHONY HOSPITAL|