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NPI Code Detail

MEDICARE: DR. ANTHONY F. OGNJAN D.O.

MEDICARE: DR. ANTHONY F. OGNJAN D.O.
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
1207RI0200XInfectious Disease Physician5101008652MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11022820OTHERMIMHP HAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4700D410040OTHERMIBCBS BCN COMM BLUE PLUS

General Provider Information

NPI Number : 1144278847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY F. OGNJAN D.O.
Provider Business Mailing Address
First Line : 901 MCCLINTOCK DR
Second Line : SUTIE 202
City : BURR RIDGE
State : IL
Zip : 60527-0871
Country : US
Telephone Number : 888-220-6432
Fax Number : 630-734-4715
Provider Business Practice Location Address
First Line : 5280 METROPOLITAN PKWY
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-4005
Country : US
Telephone Number : 586-446-8688
Fax Number : 586-446-9994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 04/03/2013

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