Individual
SYED SAADUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E 61ST ST, S&F MEDICAL CENTER, CHICAGO, IL 60637-2324
(773) 955-5560
(773) 955-5580
Mailing address
3 115TH ST, LEMONT, IL 60439-8753
(630) 789-6455
(773) 955-5580
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036-081114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031604575
BLUE CROSS BLUE SHIELD IL
IL
05
—
036081114
—
IL
Enumeration date
06/06/2006
Last updated
01/21/2015
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