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NPI Code Detail

MEDICARE: MR. DAVID VAYNGART

MEDICARE: MR. DAVID VAYNGART
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician125.087789IL

General Provider Information

NPI Number : 1962258848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID VAYNGART
Provider Business Mailing Address
First Line : 4440 W 95TH ST STE 1320M
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2600
Country : US
Telephone Number : 708-684-1277
Fax Number :
Provider Business Practice Location Address
First Line : 4440 W 95TH ST STE 1320M
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2600
Country : US
Telephone Number : 708-684-1277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2024
Last Update Date : 06/02/2026

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Directions to “ MR. DAVID VAYNGART ” Practice Location

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