Search › Illinois › 2083P0901X
Jan Iwata, DO
NPI 1922177351 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1 E Superior St
307
Chicago, IL 60611 - Phone
- (773) 501-7394
- Fax
- (773) 296-7787
- Organisation at this address
- Shimmel
Shalev, Inc
Becky Nagel Lcsw
Clarity Clinic Pllc
Maria Balkoura Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 103
Registry record
- Primary taxonomy
- 2083P0901X
2083P0901X
- Also registered as
- 204D00000X
207W00000X
2083P0901X
207W00000X
204D00000X - Licence states on file
- CA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois