NATHAN TAN NAVARRO MD NPI 1508516865

NPI Information

  • NPI: 1508516865
  • Provider Name: NATHAN TAN NAVARRO, MD
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4822 S COTTAGE GROVE AVE STE 4-200
    CHICAGO, IL
    ZIP 60615
  • Phone: (312) 926-3627

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NPI Details

Nathan Tan Navarro, MD is an adult medicine family medicine in Chicago, IL with 4 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Nathan Tan Navarro, MD NPI is 1508516865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2022

The provider's business location address is:

4822 S COTTAGE GROVE AVE STE 4-200
CHICAGO, IL
ZIP 60615
Phone: (312) 926-3627
Fax: (312) 921-1051

The NPI 1508516865 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2022 and was last updated on 8/27/2025.

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
1207Q00000XFamily Medicine125.080694ILLINOISNo
2207QA0505XFamily MedicineAdult Medicine036172742ILLINOISYes

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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