Basic Information
| Provider Information | |||||||||
| NPI: | 1255565115 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | JATTA | ||||||||
| FirstName: | BINN | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | BELOIT HEALTH SYSTEM INC. | ||||||||
| Address2: | 1905 E. HUEBBE PARKWAY | ||||||||
| City: | BELOIT | ||||||||
| State: | WI | ||||||||
| PostalCode: | 535111842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6083642293 | ||||||||
| FaxNumber: | 6083645452 | ||||||||
| Practice Location | |||||||||
| Address1: | NORTHPOINTE CLINIC | ||||||||
| Address2: | 5605 E. ROCKTON ROAD | ||||||||
| City: | ROSCOE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 610737601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8155254500 | ||||||||
| FaxNumber: | 8155254505 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2009 | ||||||||
| LastUpdateDate: | 04/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 399-320 | WI | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 036-133142 | IL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 03613142 | IL | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.