| M. Sajjad, M.d., S.c. | |
|
2017 S Western Ave Chicago IL 60608-2504 | |
| (773) 847-7878 | |
| (773) 847-7879 |
| Full Name | M. Sajjad, M.d., S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2017 S Western Ave, Chicago, Illinois |
| Authorized Official Name and Position | Mohammed Sajjad (PRESIDENT) |
| Authorized Official Contact | 7735889957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Sajjad, M.d., S.c. 6337 N Keating Ave Chicago IL 60646-4425 Ph: (773) 588-9957 | M. Sajjad, M.d., S.c. 2017 S Western Ave Chicago IL 60608-2504 Ph: (773) 847-7878 |
| NPI Number | 1962840090 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 06/11/2013 |
| Medicare PECOS PAC ID | 0840422978 |
|---|---|
| Medicare Enrollment ID | O20140403001856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962840090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-122457 (Illinois) | Primary |
| Provider Name | Mohammed Sajjad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780809152 PECOS PAC ID: 8628122710 Enrollment ID: I20090825000396 |
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