Provider Demographics
NPI:1013043959
Name:BIGOL, PERCIVAL A (MD)
Entity Type:Individual
Prefix:DR
First Name:PERCIVAL
Middle Name:A
Last Name:BIGOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W HIGGINS RD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7220
Mailing Address - Country:US
Mailing Address - Phone:847-885-3101
Mailing Address - Fax:847-885-3108
Practice Address - Street 1:2500 W HIGGINS RD
Practice Address - Street 2:SUITE 280
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-7220
Practice Address - Country:US
Practice Address - Phone:847-885-3101
Practice Address - Fax:847-885-3108
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036098893207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00614396OtherRR MEDICARE
IL21623235OtherBLUE SHIELD
IL036098893Medicaid
ILP00614396OtherRR MEDICARE
ILIL1781001Medicare PIN
IL21623235OtherBLUE SHIELD