Individual
BAN H AL SAYYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036136683
IL
208000000X
Pediatrics Physician
35085802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380277
ANTHEM FACETS
—
05
—
0307822
—
OH
01
—
100012670A
INDIANA MEDICAID
—
05
—
2577206
—
OH
01
—
310833936
HUMANA
—
01
—
310833936784
CARE SOURCE
—
01
—
35085802
OHIO LICENSE #
—
01
—
65901886
KENTUCKY MEDICAID
—
Enumeration date
05/18/2006
Last updated
05/18/2022
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