Provider Demographics
NPI:1255565115
Name:JATTA, BINN M (MD)
Entity type:Individual
Prefix:MS
First Name:BINN
Middle Name:M
Last Name:JATTA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:BELOIT HEALTH SYSTEM INC.
Mailing Address - Street 2:1905 E. HUEBBE PARKWAY
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1842
Mailing Address - Country:US
Mailing Address - Phone:608-364-2293
Mailing Address - Fax:608-364-5452
Practice Address - Street 1:NORTHPOINTE CLINIC
Practice Address - Street 2:5605 E. ROCKTON ROAD
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-7601
Practice Address - Country:US
Practice Address - Phone:815-525-4500
Practice Address - Fax:815-525-4505
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI399-320207V00000X
IL036-133142207V00000X
IL03613142207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology