DR. TATYANA KAGAN (NPI# 1508924267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508924267 |
| Entity Type | Individual |
| Full Name | DR. TATYANA KAGAN |
| Credential | M.D. |
| Practice Address |
9933 Lawler Ave Skokie IL 60077-3703 |
| Practice Telephone | 8476260303 |
| Practice Fax Number | 8476260191 |
| Mailing Telephone | 8476260303 |
| Mailing Fax Number | 8476260191 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | 036102378 | IL | Other Service Providers |
| N | 208000000X | Pediatrics | 036-102378 | IL | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
036-102378 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TAX ID | 542161791 | 01 |
| Street Address |
9933 LAWLER AVE |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704811 | Skokie Meadows Nursing Center II | Nursing Facility/Intermediate Care Facility | 9933 Lawler Ave, Ste #350, C/o Premier Management Co, Skokie, IL 60077-3703 | 2005-07-21 |
| 1841661931 | Wendy Shorr | Durable Medical Equipment & Medical Supplies | 9933 Lawler Ave, Suite 340, Skokie, IL 60077-3773 | 2015-10-14 |
| 1861837973 | Kunnel Dental Center P.C. | Dentist | 9933 Lawler Ave, #401, Skokie, IL 60077-3703 | 2013-05-02 |
| 1093069866 | Ella Komarovsky Md | Clinic/Center | 9933 Lawler Ave, Suite 338a, Skokie, IL 60077-3703 | 2012-11-01 |
| 1376807966 | David B. Schwartz, Dds and Associates | Dentist | 9933 Lawler Ave, Skokie, IL 60077-3703 | 2012-06-27 |
| 1306114236 | Skokie Foot & Ankle Specialists, Ltd. | Podiatrist | 9933 Lawler Ave, Suite 315, Skokie, IL 60077-3703 | 2011-12-07 |
| 1467733741 | 1 Stop Homemaker Services, LLC. | In Home Supportive Care | 9933 Lawler Ave, Suite 206, Skokie, IL 60077-3703 | 2011-08-31 |
| 1346538402 | Brian Rosenblatt | Dentist | 9933 Lawler Ave, Ste# 340, Skokie, IL 60077-3703 | 2011-07-11 |
| 1841525656 | Sergey Viktorovich Dergachev | Massage Therapist | 9933 Lawler Ave, Suite 520, Skokie, IL 60077-3703 | 2009-10-12 |
| 1114178217 | Fabio Ortega Md Sc | Obstetrics & Gynecology | 9933 Lawler Ave, Suite 409, Skokie, IL 60077 | 2008-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255725164 | Princy Pathalil George | Pediatrics | 5730 S. Drexel Avenue, Mc 8029, Chicago, IL 60637 | 2015-03-28 |
| 1588002661 | Justin D Triemstra | Pediatrics | 180 N Harvester Drive, Suite 110, Burr Ridge, IL 60527 | 2013-06-11 |
| 1427391515 | Sriram Ramgopal | Pediatrics | 255 E Chicago Ave, Chicago, IL 60611-2605 | 2013-03-27 |
| 1720138779 | Alison S Tothy | Pediatrics | 5841 South Maryland Ave. 0810, Dept. of Pediatrics; Section of Pediatric Emergency Med, Chicago, IL 60637-1407 | 2007-01-11 |
| 1982710133 | Nazir Ahmad | Pediatrics | 1535 W Mccord St, Centralia, IL 62801 | 2006-08-21 |
| 1205890613 | Susan Miriam Fuchs | Pediatrics | 225 E Chicago Ave # 62, Chicago, IL 60611 | 2006-04-13 |
| 1508307752 | Destiny Deshawn Wilson | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2017-03-20 |
| 1407240914 | Amy Z. Zhou | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2015-03-23 |
| 1164860557 | Anisha Kshetrapal | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2013-06-07 |
| 1740625052 | Nina Mbadiwe | Pediatrics | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2013-05-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.