| David Vigder Md Sc | |
|
800 N Westmoreland Rd Suite 206 Lake Forest IL 60045-1673 | |
| (847) 615-2227 | |
| (847) 615-2228 |
| Full Name | David Vigder Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 N Westmoreland Rd, Lake Forest, Illinois |
| Authorized Official Name and Position | David M Vidger (PRESIDENT) |
| Authorized Official Contact | 8476152227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Vigder Md Sc 800 N Westmoreland Rd Suite 206 Lake Forest IL 60045-1673 Ph: (847) 615-2227 | David Vigder Md Sc 800 N Westmoreland Rd Suite 206 Lake Forest IL 60045-1673 Ph: (847) 615-2227 |
| NPI Number | 1154345742 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 9032101944 |
|---|---|
| Medicare Enrollment ID | O20040331001458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154345742 | NPI | - | NPPES |
| 4922698 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036094188 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036094188 (Illinois) | Primary |
| Provider Name | David M Vigder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780773994 PECOS PAC ID: 9638161540 Enrollment ID: I20040401000823 |
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