Individual
DR. DAN ANTHONY CABILLAGE GARGANERA
Active
Individual
DR. DAN ANTHONY CABILLAGE GARGANERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-101243
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101243
—
IL
01
—
09900582
BLUE CROSS BLUE SHIELD
IL
01
—
P00427864
RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
02/12/2012
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