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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689699365 NPPES
Illinois Other 406120 MEDICARE PTAN FOR SCMG
Illinois Other F400195183 MEDICARE PTAN FOR SCMG

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