Individual
SAJEDABANU MOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-2759
(217) 528-7541
(217) 606-3057
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036151766
IL
208M00000X
Hospitalist Physician
MD15600
RI
Other
Enumeration date
06/19/2013
Last updated
08/26/2025
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