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Contact Information

TATYANA KAGAN, MD
9933 LAWLER AVE
SKOKIE, IL60077-3703
 Phone: 847-626-0303
 Fax: 847-626-0191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Legal Medicine

173000000X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TATYANA KAGAN · (Female)

NPI # 1508924267
Status Active
Credentials MD
Entity Individual
Enumeration date 12/05/2006
Last updated 04/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-102378
  • IL License # 036102378
  • IL Other 542161791 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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