Provider Demographics
NPI:1437347978
Name:NAYDEN, JOHN M SR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:NAYDEN
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 RED BUD CT
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-2128
Mailing Address - Country:US
Mailing Address - Phone:815-469-6361
Mailing Address - Fax:815-469-6326
Practice Address - Street 1:366 RED BUD CT
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-2128
Practice Address - Country:US
Practice Address - Phone:815-469-6361
Practice Address - Fax:815-469-6326
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology