Healthcare Provider Details

I. General information

NPI: 1205005261
Provider Name (Legal Business Name): SAJE TECHNOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 DIXON CT
HOFFMAN ESTATES IL
60192-1401
US

IV. Provider business mailing address

765 DIXON CT
HOFFMAN ESTATES IL
60192-1401
US

V. Phone/Fax

Practice location:
  • Phone: 847-756-7603
  • Fax:
Mailing address:
  • Phone: 847-756-7603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number5502-9868
License Number StateIL

VIII. Authorized Official

Name: SCOTT DRAHOS
Title or Position: PRESIDENT
Credential:
Phone: 847-756-7603