Dr MIGUEL R ANTONATOS is a male medical professional, specializing in Family Medicine. He graduated in 2004.
NORTHWESTERN MEDICAL FACULTY FOUNDATION
1000 WESTMORELAND RD
LAKE FOREST
IL
600451659
Tel: 8472345600
| Npi | 1912285081 |
| Pac Id | 0244400828 |
| Professional Enrollment Id | I20151229000926 |
| Last Name | ANTONATOS |
| First Name | MIGUEL |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | PERIPHERAL VASCULAR DISEASE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PERIPHERAL VASCULAR DISEASE |
| Organization Legal Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Group Practice Pac Id | 4587576814 |
| Number Of Group Practice Members | 2075 |
| Line 1 Street Address | 1000 WESTMORELAND RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 600451659 |
| Phone Number | 8472345600 |
| Hospital Affiliation Ccn 1 | 140130 |
| Hospital Affiliation Lbn 1 | NORTHWESTERN LAKE FOREST HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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