Individual
DR. LORRAINE BANGAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15900 CICERO AVE, OAK FOREST, IL 60452
(708) 633-3244
(708) 633-2074
Mailing address
4606 GILBERT AVE, WESTERN SPRINGS, IL 60558-1644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-091169
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036091169
IL
Other
Enumeration date
10/31/2006
Last updated
04/21/2021
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