Individual
JOSE MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-099806
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036099806
MEDICAID
IL
05
—
036099806
—
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
F400191302
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
08/10/2006
Last updated
03/25/2015
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