DR. TATYANA KAGAN M.D. NPI 1508924267

NPI Information

NPI: 1508924267
Provider Name: DR. TATYANA KAGAN, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
9933 LAWLER AVE
SKOKIE, IL
ZIP 60077
Phone: (847) 626-0303
Get Directions

DR. Tatyana Kagan, M.D. is a pediatric emergency medicine pediatrics in Skokie, IL. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Tatyana Kagan, M.D. NPI is 1508924267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9933 LAWLER AVE
SKOKIE, IL
ZIP 60077-703
Phone: (847) 626-0303
Fax: (847) 626-0191

The NPI 1508924267 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 4/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	173000000X	Legal Medicine		036102378	ILLINOIS	No
2	208000000X	Pediatrics		036-102378	ILLINOIS	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	036-102378	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	542161791	OTHER	ILLINOIS	TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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