Individual
SABA KAISERUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
(312) 337-5264
Mailing address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
(312) 337-5264
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-108684
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-108684
ILLINOIS LICENSE
IL
Enumeration date
11/02/2007
Last updated
12/15/2016
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