Individual
DR. VIJAY B THANGAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 W OGDEN AVE, WESTMONT, IL 60559-1419
(630) 790-2871
(630) 968-3762
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036118386
IL
207X00000X
Orthopaedic Surgery Physician
238550
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036118386
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036118386
PHYSICIAN, LICENSED
IL
05
—
036118386
—
IL
01
—
PENDING
BCBS
MA
05
—
PENDING
—
MA
Enumeration date
07/30/2008
Last updated
08/28/2023
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