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NPI Code Detail

MEDICARE: DR. ALAN Y SADAH M.D.

MEDICARE:  DR. ALAN Y SADAH  M.D.
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
1208800000XUrology Physician036081195IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679510275
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN Y SADAH M.D.
Provider Business Mailing Address
First Line : 3201 OLD GLENVIEW RD STE 225
Second Line :
City : WILMETTE
State : IL
Zip : 60091-2967
Country : US
Telephone Number : 773-385-6069
Fax Number : 773-385-6281
Provider Business Practice Location Address
First Line : 2735 N HARLEM AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60707-1636
Country : US
Telephone Number : 773-385-6069
Fax Number : 773-385-6281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 05/03/2018

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Directions to “ DR. ALAN Y SADAH M.D.” Practice Location

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