Michael Prendergast in Evanston - Vascular Surgery

Michael Prendergast - NPI 1568570158

Michael Prendergast is a Vascular Surgery in Evanston, Illinois. Michael Prendergast practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Michael Prendergast is 1568570158. The last update date is 2021-01-08.

Michael Prendergast's current location address is 800 Austin St Ste 207, Evanston, Illinois. You can contact this provider via phone number 7733262244. The mailing address for Michael Prendergast is 800 Austin St Ste 207, Evanston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Prendergast
Address 800 Austin St Ste 207, Evanston, Illinois
Phone Number 7733262244
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1568570158
Provider Enumeration Date 2006-08-25
Last Updated Date 2021-01-08

Provider Mailing Address Detail

Address 800 Austin St Ste 207
City Evanston
State Illinois (IL)
Post Code 602023442
Phone Number 7733262244
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 36091607
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36091607 IL --

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FAQs about Michael Prendergast

What is the unique 10-digit identifier code assigned to Michael Prendergast by the Centers for Medicare & Medicaid Services?

The Michael Prendergast has been issued the NPI (National Provider Identifier) 1568570158 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Michael Prendergast is physically located?

The Michael Prendergast is situated at the following address: 800 Austin St Ste 207, Evanston, IL 602023442.

What is the Michael Prendergast's specialty and taxonomy code?

The Michael Prendergast's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.

When did Michael Prendergast receive its 1568570158 assignment?

The Michael Prendergast was assigned its 1568570158 on 2006-08-25, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Michael Prendergast most recently updated or revised?

The details related to Michael Prendergast, including its address, specialty, and other relevant information, were last updated or revised on 2021-01-08.

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