Provider Demographics
NPI:1760778468
Name:ONTROP, NATHAN D (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:D
Last Name:ONTROP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:25 E WASHINGTON ST STE 1601
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1882
Mailing Address - Country:US
Mailing Address - Phone:312-725-2347
Mailing Address - Fax:312-577-1574
Practice Address - Street 1:25 E WASHINGTON ST STE 1601
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-725-2347
Practice Address - Fax:312-577-1574
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1250595752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry