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Individual
BARRY SADEGI
Active
Individual
BARRY SADEGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036046311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031601938
BCBS
IL
05
—
036046311
—
IL
01
—
1400955817
CLIA
IL
01
—
207Q00000X
TAXONOMY
IL
01
—
2239111
CIGNA
IL
01
—
363553540
TAXID
IL
01
—
K26224
MEDICARE PTAN
IL
Enumeration date
09/26/2006
Last updated
03/19/2021
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