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1518461474
JONATHON WILLIAM WANTA
CHICAGO, IL
NPI
1518461474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036155918)
Enumeration Date
2018-03-23
Last Update Date
2023-01-20
Business Address
Dr. JONATHON WILLIAM WANTA MD
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 630-915-4834
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Mailing Address
Dr. JONATHON WILLIAM WANTA MD
2650 RIDGE AVE. DEPARTMENT OF PSYCHIATRY
EVANSTON, IL 60201-1718
Phone number: 847-570-2540
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