Dr. Tatyana Kagan
M.D. | Pediatric Emergency Medicine | Female
Dr. Tatyana Kagan, M.D. is a Skokie, Illinois based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Tatyana Kagan is
9933 Lawler Ave, Skokie, Illinois - 60077-3703. She can be contacted on phone at
847-626-0303 and fax number 847-626-0191.
Dr. Tatyana Kagan is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Tatyana Kagan is
1508924267 which was assigned by NPPES on 05 Dec, 2006 and it was last updated on 26 Apr, 2021.
Dr. Tatyana Kagan license number is
036-102378 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Illinois.
Dr. Tatyana Kagan has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Tatyana Kagan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Tatyana Kagan |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Tatyana Kagan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9933 Lawler Ave
Skokie, IL, 60077-3703
United States |
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| Phone Number : | 847-626-0303 |
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| Fax Number : | 847-626-0191 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508924267 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Dec, 2006 |
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| Last Updated On : | 26 Apr, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tatyana Kagan are as mentioned. Primary taxonomy code for Dr. Tatyana Kagan, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 173000000X | Legal Medicine | No | 036102378 | IL |
| 208000000X | Pediatrics | No | 036-102378 | IL |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 036-102378 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Tatyana Kagan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 542161791 | Other | IL | TAX ID |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | tkaganp@direct.ccprovider.org
| | DIRECT
Direct
|
| 1969 W. OGDEN AVE.,
CHICAGO, IL, 60612-3723
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9933 Lawler Ave
Skokie, IL, 60077-3703
United States |
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| Phone Number : | 847-626-0303 |
|---|
| Fax Number : | 847-626-0191 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Tatyana Kagan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.