Healthcare Provider Details

I. General information

NPI: 1861616864
Provider Name (Legal Business Name): SAIZ LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 12/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

581 SULLIVAN RD SUITE A
AURORA IL
60506-1489
US

IV. Provider business mailing address

581 SULLIVAN RD SUITE A
AURORA IL
60506-1489
US

V. Phone/Fax

Practice location:
  • Phone: 630-906-3700
  • Fax: 630-906-0730
Mailing address:
  • Phone: 630-906-3700
  • Fax: 630-906-0730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036084973
License Number StateIL

VIII. Authorized Official

Name: MOHAMMED TAJAMMUL HUSSAIN
Title or Position: PRESIDENT
Credential: MD
Phone: 630-906-3700