Organization · Type 2 NPI

John G Latall MD SC

Allergy Physician · Chicago, IL

NPI number 1134485055 Active

Practice location

2073 N Clybourn Ave
Chicago, IL 60614-4003

Call (773) 665-4016 Map

Fax (773) 360-6200

Other practice locations

1 N. Lasalle St., Ste 1130, Chicago, IL 60602 · (312) 796-2241
4905 Old Orchard Ctr Lowr Level, Skokie, IL 60077-1458 · (773) 665-4016

Specialties and licenses

Taxonomy	Code	License
Allergy Physician Primary	207KA0200X	None listed
Medical Specialty Clinic/Center	261QM2500X	036-084430 (IL)

Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.

8 other providers at this address

Other allergy physician providers in Chicago

See all in Chicago →

NPI record

NPI: 1134485055
Entity type: Organization (Type 2)
Issued: Apr 4, 2012
Last updated: Oct 5, 2022
Status: Active

Other names

<unavail>
Premier Allergy, Asthma and Sinus SC · doing business as
Premier Allergy, Asthma and Sinus SC · doing business as

Authorized official

Dr. John G Latall, MD
President
(773) 665-4016

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1134485055

John G Latall MD SC's National Provider Identifier is 1134485055, issued on Apr 4, 2012. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Chicago, IL. The record was last updated on Oct 5, 2022.