Individual
MAYUR SAUJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 456-7178
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-123911
IL
208M00000X
Hospitalist Physician
Primary
036-123911
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123911
—
IL
01
—
04515143
BCBS#
IL
Enumeration date
06/30/2008
Last updated
08/18/2023
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