Healthcare Provider Details

I. General information

NPI: 1780090233
Provider Name (Legal Business Name): UMAMA SADIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2014
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E PLUMMER BLVD STE A
CHATHAM IL
62629-8136
US

IV. Provider business mailing address

125 E PLUMMER BLVD STE A
CHATHAM IL
62629-8136
US

V. Phone/Fax

Practice location:
  • Phone: 217-483-3333
  • Fax: 217-483-4393
Mailing address:
  • Phone: 217-483-3333
  • Fax: 217-483-4393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number7337
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number51573
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01097078A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036179131
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: