# SUDERSHAN SAXENA M.D.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265413181
- **Authorized official:** DR. SUDERSHAN D SAXENA MD (OFFICER)
- **Authorized official phone:** (708) 774-2970

## Contact information

- **Practice address:** 7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
- **Practice address phone:** (708) 361-5550
- **Practice address fax:** (708) 361-5824
- **Mailing address:** PO BOX 379, ORLAND PARK, IL 60462-0379
- **Mailing address phone:** (708) 774-2970
- **Mailing address fax:** (708) 460-1117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 07/23/2010