Individual
ALEKSANDR KAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036111960
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
036111960
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111960
—
IL
Enumeration date
04/10/2006
Last updated
05/08/2026
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