MEDICARE: SCOTT D SAGERMAN MD

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
1	207XS0106X	Orthopaedic Hand Surgery Physician		IL

General Provider Information

NPI Number	:	1841383031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT D SAGERMAN MD

Provider Business Mailing Address
First Line	:	515 W ALGONQUIN RD
Second Line	:	SUITE 120
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4439
Country	:	US
Telephone Number	:	847-956-0099
Fax Number	:	847-956-0433

Provider Business Practice Location Address
First Line	:	515 W ALGONQUIN RD
Second Line	:	STE 120
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4405
Country	:	US
Telephone Number	:	847-956-0099
Fax Number	:	847-956-0433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	03/03/2008

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