Sagan, Andrew
Sagan, Andrew is an individual health care provider with primary practice located at 2740 W Foster Ave Suite 401, Chicago IL 60625-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sagan, Andrew can be contacted via phone (773) 293-3223.Contact Information
Primary practice address
2740 W Foster Ave Suite 401
Chicago IL 60625-3500
Phone: (773) 293-3223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-097505 | Illinois |
Profile Details
| NPI number | 1689699365 |
|---|---|
| LBN Legal business name | Sagan, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Feb 11th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689699365 | NPPES |
| Illinois | Other | 406120 | MEDICARE PTAN FOR SCMG |
| Illinois | Other | F400195183 | MEDICARE PTAN FOR SCMG |
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