Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Prendergast, MD

Individual provider Specialist · NPI 1568570158

Dr. Michael Prendergast, MD is a General Surgery in Evanston, Illinois. Qualified in 1993, 33 years ago. Licensed in Illinois.

Years since qualifying
33
Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 Austin St Ste 207
Evanston, IL 60202-3442
Phone: (773) 326-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036091607 (IL)
Specialist Taxonomy 174400000X
Surgery Physician Taxonomy 208600000X · Licence 036091607 (IL)

Record details

NPI number1568570158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 8, 2021
Mailing address800 Austin St Ste 207, Evanston, IL 60202-3442

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Not indicated

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