| Balu Natarajan Md Sc | |
|
711 W North Ave Suite 208 Chicago IL 60610-7010 | |
| (312) 616-7778 | |
| (312) 276-4304 |
| Full Name | Balu Natarajan Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 711 W North Ave, Chicago, Illinois |
| Authorized Official Name and Position | Balakrishnan Natarajan (PRESIDENT) |
| Authorized Official Contact | 3126167778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balu Natarajan Md Sc 711 W North Ave Suite 208 Chicago IL 60610-1174 Ph: (773) 616-7778 | Balu Natarajan Md Sc 711 W North Ave Suite 208 Chicago IL 60610-7010 Ph: (312) 616-7778 |
| NPI Number | 1437350592 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 02/19/2016 |
| Medicare PECOS PAC ID | 1052411444 |
|---|---|
| Medicare Enrollment ID | O20070713000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437350592 | NPI | - | NPPES |
| 036101773 | Medicaid | IL | |
| 01633302 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036101773 (Illinois) | Primary |
| 207RS0010X | Internal Medicine - Sports Medicine | 036101773 (Illinois) | Secondary |
| Provider Name | Balakrishnan Natarajan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295799013 PECOS PAC ID: 3870558232 Enrollment ID: I20041124000468 |
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