Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL PRENDERGAST, MD
ActiveDR. MICHAEL PRENDERGAST, MD is a Vascular Surgery healthcare provider located in EVANSTON, Illinois. NPI 1568570158 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · EVANSTON, IL
Registration Details
- NPI Number
- 1568570158
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2006 (19.961617179129 yrs)
- Last Updated
- Jan 8, 2021
- Licenses
-
036091607 (IL)036091607 (IL)
Practice Information
- Address
-
800 AUSTIN ST STE 207EVANSTON, IL, 602023442Browse IL providers · Browse ZIP 60202
- Phone
- 7733262244
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- General Surgery
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.