| Doctor Name: | MR. JUAN LAWRENCE CABATU |
| NPI Number: | 1093184582 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN/MBA, NP-C |
| License Number: | 209013273 |
| Business Practice Address: | 1 Westbrook Corporate Ctr Suite 300 Westchester, IL - 601545701 |
| Business Phone Number: | 8779069699 |
| Business Fax Number: | 8004999260 |
| Mailing Address: | 1040 W Adams St, Unit 346 CHICAGO |
| State: | IL |
| Postal Code: | 606072998 |
| Phone Number: | 2244308194 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2015 |
| NPI Last Update Date: | 09/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209013273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |