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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 ID1194980607
PAC ID by PECOS9537351820
Professional Enrollment IDI20120313000979
NameNATHAN J FANTER
Medical School NameOTHER
Graduation Year2005
Primary SpecialtyORTHOPEDIC SURGERY
All secondary specialties
Organization NameSAINT ANTHONY HEALTH AFFILIATES
Group Practice PAC ID1254321474
Number of Group Practice members54
Address2875 W 19TH ST, , CHICAGO, IL, 606233501
Hospital affiliation LBNSAINT ANTHONY HOSPITAL
Graduation Year2005
Contact Number7734844452
Email Address[Show_Email_ID]

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