Healthcare Provider Details

I. General information

NPI: 1730172172
Provider Name (Legal Business Name): ALLEN E SAXON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 09/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 BARRINGTON RD SUITE 210
HOFFMAN ESTATES IL
60169-1019
US

IV. Provider business mailing address

PO BOX 958995
HOFFMAN ESTATES IL
60195-8995
US

V. Phone/Fax

Practice location:
  • Phone: 847-884-7700
  • Fax: 847-884-6569
Mailing address:
  • Phone: 847-884-7700
  • Fax: 847-884-6569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036055766
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: