| Vanessa Hagan, Md, Sc | |
|
4400 W 95th St 303 Oak Lawn IL 60453-2654 | |
| (708) 423-1300 | |
| (708) 423-6085 |
| Full Name | Vanessa Hagan, Md, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4400 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Vanessa Hagan (PRESIDENT/CEO) |
| Authorized Official Contact | 7084231300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Hagan, Md, Sc 4400 W 95th St 303 Oak Lawn IL 60453-2654 Ph: (708) 423-1300 | Vanessa Hagan, Md, Sc 4400 W 95th St 303 Oak Lawn IL 60453-2654 Ph: (708) 423-1300 |
| NPI Number | 1053413807 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527034966 |
|---|---|
| Medicare Enrollment ID | O20040907001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053413807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Vanessa M Hagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215125927 PECOS PAC ID: 2961478318 Enrollment ID: I20040907001107 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
Michael E Beck Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4938 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-4662 Fax: 708-425-4692 | |
Mark S. Reiter, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, Suite 405, Oak Lawn, IL 60453 Phone: 708-499-2323 Fax: 708-499-2324 | |
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