Elizabeth Redican, D.O.

Family Medicine in Chicago, IL. Individual provider (NPI-1).

NPI number1154615797

StatusActive

Last updated in NPPESMay 26, 2021

Details

NPI: 1154615797
Entity type: Individual (NPI-1)
Name: Elizabeth Redican
Credential: D.O.
Sex: Female
Sole proprietor: No
Enumeration date: May 31, 2011
Certification date: May 26, 2021
Last updated: May 26, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	A12864	CA	Yes

Practice location

3860 W Ogden Ave
Chicago, IL 60623-2460

Phone 872-588-3000

Mailing address

3860 W Ogden Ave
Chicago, IL 60623-2460

Phone 872-588-3000

Other practice locations

3291 Loma Vista Rd
Ventura, CA 93003-3099

Phone 805-652-6228

Is something wrong?

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