Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brent M Nathan, MD

Individual provider Internal Medicine Physician · NPI 1639559719

Dr. Brent M Nathan, MD is an Internal Medicine in Bannockburn, Illinois. Graduated from Rush Medical College of Rush University in 2015, 11 years ago. Practices with Brent M Nathan MD PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2101 Waukegan Rd Ste 104
Bannockburn, IL 60015-1836
Phone: (847) 317-1717
Fax: (847) 317-9305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036144667 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125067282 (IL)

Record details

NPI number1639559719
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2015
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Brent M Nathan Md Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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