Jeff Charles Rastatter
Pediatric Otolaryngology
225 E. Chicago Ave., #25 Ann & Robert H. Lurie Children's Hospital Of Chicago
Chicago
, Illinois 60611-2605
Jeff Charles Rastatter
Pediatric Otolaryngology
225 E. Chicago Ave., #25 Ann & Robert H. Lurie Children's Hospital Of Chicago
Chicago
, Illinois 60611-2605
(312) 227-9414
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Jeff Charles Rastatter
- 225 E. Chicago Ave., #25 Ann & Robert H. Lurie Children's Hospital Of Chicago
- Chicago, IL
- Zip : 60611-2605
- Fax : (312) 227-9414
- Phone : (312) 227-6230
Second Address
- Jeff Charles Rastatter
- 225 E. Chicago Ave., #25 Ann & Robert H. Lurie Children's Hospital Of Chicago
- Chicago, IL
- Zip : 60611-2605
- Fax : (312) 227-9414
- Phone : (312) 227-6230
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 036118993 | IL |
National Provider Identifier
| NPI | 1932326451 |
|---|---|
| Provider Name | Jeff Charles Rastatter |
| First Address | Chicago, IL 60611-2605 |
| Second Address | Chicago, IL 60611-2605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 17/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-118993 | LICENSE NUMBER (01) | IL |
| 760060 | MEDICARE GROUP PTAN (01) | IL |
| 760060002 | MEDICARE INDIVIDUAL PTAN (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.