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NPI Code Detail

MEDICARE: MRS. SANDY OH MD

MEDICARE: MRS. SANDY OH 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
1207R00000XInternal Medicine Physician03609778IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11851325203OTHERILRAILROAD MEDICARE

General Provider Information

NPI Number : 1851325203
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDY OH MD
Provider Business Mailing Address
First Line : 1606 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGOTN HEIGHTS
State : IL
Zip : 60004
Country : US
Telephone Number : 847-797-8900
Fax Number : 847-797-8908
Provider Business Practice Location Address
First Line : 1606 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3908
Country : US
Telephone Number : 847-797-8900
Fax Number : 847-797-8908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 03/10/2009

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Directions to “ MRS. SANDY OH MD” Practice Location

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