Individual
SABA BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
670 PIERCE BLVD, O FALLON, IL 62269-2579
(618) 206-2088
(618) 206-2089
Mailing address
670 PIERCE BLVD, O FALLON, IL 62269-2579
(618) 206-2088
(618) 206-2089
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036159948
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
06/13/2022
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