John G Latall, MD | |
2073 N Clybourn Ave, Chicago, IL 60614-4003 | |
(773) 665-4016 | |
(773) 360-6200 |
Full Name | John G Latall |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 36 Years |
Location | 2073 N Clybourn Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487630364 | NPI | - | NPPES |
036084430 / 02 | Medicaid | IL | |
01621679 | Other | IL | BCBS OF IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 036084430 (Illinois) | Secondary |
207K00000X | Allergy & Immunology | 036-084430 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Entity Name | John G Latall Md Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134485055 PECOS PAC ID: 4981088374 Enrollment ID: O20220902001966 |
Mailing Address | Practice Location Address |
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John G Latall, MD 2073 N Clybourn Ave, Chicago, IL 60614-4003 Ph: (773) 665-4016 | John G Latall, MD 2073 N Clybourn Ave, Chicago, IL 60614-4003 Ph: (773) 665-4016 |
Ayesha Siddiqi, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 30 N Michigan Ave, #1107, Chicago, IL 60602 Phone: 312-236-3642 Fax: 312-236-5162 | |
Kelly Klingler Newhall, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2551 N Clark St, Suite 100, Chicago, IL 60614 Phone: 773-388-2322 Fax: 773-388-2333 | |
Gayatri Patel, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St Ste 18-250, Chicago, IL 60611 Phone: 312-695-8624 Fax: 312-695-4141 | |
Aaron Thomas Donnell, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2551 N Clark St, Suite 100, Chicago, IL 60614 Phone: 773-388-2322 Fax: 773-388-2333 | |
Grant Edland, Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000 | |
Dr. Dolly Thomas, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 4014 N Central Ave, Chicago, IL 60634 Phone: 773-283-9594 Fax: 773-283-6711 | |
Dr. Bienvenido Tecson Lamorena, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 5356 W Diversey Ave, Chicago, IL 60639 Phone: 773-777-9400 Fax: 773-777-6917 |