JOHN G LATALL MD SC NPI 1134485055

NPI Information

  • NPI: 1134485055
  • Provider Name: JOHN G LATALL MD SC
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • Doing Business As: PREMIER ALLERGY, ASTHMA AND SINUS SC
  • Address: 2073 N CLYBOURN AVE
    CHICAGO, IL
    ZIP 60614
  • Phone: (773) 665-4016

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NPI Details

JOHN G LATALL MD SC is an allergy allergy immunology in Chicago, IL. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee JOHN G LATALL MD SC NPI is 1134485055. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Allergy, Asthma And Sinus Sc.

The provider's business location address is:

2073 N CLYBOURN AVE
CHICAGO, IL
ZIP 60614-003
Phone: (773) 665-4016
Fax: (773) 360-6200

The provider's authorized official is John G Latall .
The authorized official title is President and has the following contact phone number (773) 665-4016.

The enumeration date for this NPI number is 4/4/2012 and was last updated on 10/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty036-084430ILLINOISNo
2207KA0200XAllergy & ImmunologyAllergyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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