Organization
SANA & SABA MEDICAL CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SABIHA Y THASEEN M.D. (MEDICAL DOCTOR)
(847) 962-6072
Entity
Organization
Contact information
Practice address
5535 W CERMAK RD STE A, CICERO, IL 60804-2218
(708) 780-7705
(708) 780-7795
Mailing address
5535 W CERMAK RD STE A, CICERO, IL 60804-2218
(708) 780-7705
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036092253
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622612
BLUE CROSS BLUE SHIELD
IL
05
—
036092253
—
IL
Enumeration date
01/08/2008
Last updated
07/21/2022
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