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General NPI Number Information
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NPI Number | 1093813156
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Entity Type | Individual
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Provider Name | SAW M OO MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 370 LARRY POWER RD SUITE 2
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City | BOURBONNAIS
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State | IL
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Zip | 60914-5195
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Country | US
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Telephone | 815-523-7020
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Fax | 815-523-7022
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Provider Business Mailing Address
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Address Line | 370 LARRY POWER RD SUITE 2
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City | BOURBONNAIS
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State | IL
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Zip | 60914-5195
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Country | US
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Telephone | 815-523-7020
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Fax | 815-523-7022
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036108040
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License Number State | IL
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