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Provider Detail for 1376709204
DR. VIJAY B THANGAMANI, M.D.
Gender: M
Mailing Address:
PO BOX 713260
CHICAGO, IL 60677-1260
Phone: 630-469-9200
Physical Address:
303 W OGDEN AVE
WESTMONT, IL 60559-1419
Phone: 630-790-2871
Fax: 630-968-3762
Other Identification Numbers
MEDICAID(MA): PENDING
PHYSICIAN, LICENSED (IL): 036118386
MEDICAID(IL): 036118386
BCBS (MA): PENDING
Taxonomy
Allopathic & Osteopathic Physicians/Orthopedic Surgery
State: MA License: 238550
Allopathic & Osteopathic Physicians/Orthopedic Surgery/Sports Medicine
State: IL License: 036118386
Allopathic & Osteopathic Physicians/Orthopedic Surgery
(Primary Specialty)
State: IL License: 036118386
Last Update: 08/28/2023
Provider Enrollment, Chain and Ownership System (PECOS)
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This NPI is eligible to order and refer in the Medicare program - they have a record in the PECOS database (click here for more info). |
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