Kagan, Tatyana

Kagan, Tatyana is an sole proprietor health care provider with primary practice located at 9933 Lawler Ave , Skokie IL 60077-3703. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Kagan, Tatyana can be contacted via phone (847) 626-0303.

Contact Information

Primary practice address
9933 Lawler Ave Skokie IL 60077-3703
Phone: (847) 626-0303
Fax: (847) 626-0191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036102378 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-102378 Illinois
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 036-102378 Illinois

Profile Details

NPI number 1508924267
LBN Legal business name Kagan, Tatyana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Apr 26th, 2021 - about 3 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 1508924267 NPPES
Illinois Other 542161791 TAX ID

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