| |
800 Biesterfield Rd Suite # 203 Elk Grove Village IL 60007-7322 | |
(630) 360-2299 | |
(630) 348-0071 |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 800 Biesterfield Rd, Elk Grove Village, Illinois |
Authorized Official Name and Position | Mohammad Sajed (MD) |
Authorized Official Contact | 6303602299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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800 Biesterfield Rd Suite # 203 Elk Grove Village IL 60007-7322 Ph: (630) 360-2299 | 800 Biesterfield Rd Suite # 203 Elk Grove Village IL 60007-7322 Ph: (630) 360-2299 |
NPI Number | 1073950523 |
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Provider Enumeration Date | 05/23/2013 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073950523 | NPI | - | NPPES |
1396785127 | Other | IL | INDIVIDUAL NPI |
336082500 | Other | IL | CDS |
036112528 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 35088792 (Illinois) | Primary |
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