Organization
SUDERSHAN SAXENA M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDERSHAN D SAXENA MD (OFFICER)
(708) 774-2970
Entity
Organization
Contact information
Practice address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 361-5550
(708) 361-5824
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 774-2970
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21601213
BCBS IL GR#
IL
Enumeration date
11/08/2005
Last updated
07/23/2010
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