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NPI Code Detail

MEDICARE: SADIA HAIDER MD

MEDICARE:   SADIA  HAIDER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036.128822IL

General Provider Information

NPI Number : 1033163522
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADIA HAIDER MD
Provider Business Mailing Address
First Line : 1645 W JACKSON BLVD STE 310
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3227
Country : US
Telephone Number : 312-942-8060
Fax Number :
Provider Business Practice Location Address
First Line : 1645 W JACKSON BLVD STE 310
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3227
Country : US
Telephone Number : 312-942-8060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 05/21/2021

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Directions to “ SADIA HAIDER MD” Practice Location

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