MEDICARE: CIGANEK GILLILAN SC

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	2084P0800X	Psychiatry Physician	036-088628	IL

General Provider Information

NPI Number	:	1942252754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIGANEK GILLILAN SC

Provider Business Mailing Address
First Line	:	737 N MICHIGAN AVE
Second Line	:	SUITE 2240
City	:	CHICAGO
State	:	IL
Zip	:	60611-2615
Country	:	US
Telephone Number	:	312-255-0140
Fax Number	:	312-255-0149

Provider Business Practice Location Address
First Line	:	737 N MICHIGAN AVE
Second Line	:	SUITE 2240
City	:	CHICAGO
State	:	IL
Zip	:	60611-2615
Country	:	US
Telephone Number	:	312-255-0140
Fax Number	:	312-255-0149

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM DONALD CIGANEK
Credential	:	M.D.
Telephone Number	:	312-255-0140

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	09/02/2015

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1609801737 — THOMAS A. MUSTOE MD, FACS
Practice Location Address:

737 N MICHIGAN AVE , SUITE 1500
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Directions to “CIGANEK GILLILAN SC ” Practice Location

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