Most Relevant Information
Provider Data
| NPI Number: | 1003298720 |
| Provider Name: | NATHAN CHARLES NOWALK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 036152140 |
Most Important Dates
| Enumeration Date: | 06/18/2015 |
| Last Updated: | 03/09/2023 |
Provider Practice Location
DEPT OF GME ROOM J-141
5841 S MARYLAND AVENUE MC 105
CHICAGO
IL
60637
Practice Location Phone/Fax
| Phone: | 8506244346 |
| Fax: |
Provider Mailing Location
DEPT OF GME ROOM J-141
5841 S MARYLAND AVENUE MC 105
CHICAGO
IL
60637
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR