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Individual

PROF. SASIKALA PAIDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1128 THOMAS MORE TER, MOUNT PROSPECT, IL 60056-1021
(630) 830-5409
(630) 246-6650
Mailing address
1128 THOMAS MORE TER, MOUNT PROSPECT, IL 60056-1021
(630) 830-5409
(630) 246-6650

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036089172
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036089172
IL
01
14D0996894
CLIA
IL
01
BS4428024
D.E.A.
IL
Enumeration date
07/21/2005
Last updated
01/28/2026
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