Provider Demographics
NPI:1669487310
Name:BAGHDAN, MARWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARWAN
Middle Name:
Last Name:BAGHDAN
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 1:29373 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1293
Mailing Address - Country:US
Mailing Address - Phone:847-390-5900
Mailing Address - Fax:708-799-8343
Practice Address - Street 1:3330 W 177TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2184
Practice Address - Country:US
Practice Address - Phone:708-799-1100
Practice Address - Fax:708-799-8343
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-086827207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF82767Medicare UPIN
IL521090Medicare ID - Type Unspecified