Doctor Name: | DR. MELISSA NATER |
NPI Number: | 1902004302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 16959 |
Business Practice Address: | 4440 W 95th St The Heart Insitute For Children Oak Lawn, IL - 604530000 |
Business Phone Number: | 7086845580 |
Business Fax Number: | |
Mailing Address: | 4440 W 95th St, OAK LAWN |
State: | IL |
Postal Code: | 604532600 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/06/2007 |
NPI Last Update Date: | 05/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16959 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |