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General NPI Number Information
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NPI Number | 1932345881
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Entity Type | Organization
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Legal Business Name | SYED SAADUDDIN MD SC
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Dates
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Enumeration Date | 12/24/2008
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Last Update Date | 12/24/2008
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Provider Practice Location Address
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Address Line | 401 E 61ST ST
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City | CHICAGO
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State | IL
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Zip | 60637-2324
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Country | US
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Telephone | 773-955-5560
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Fax |
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Provider Business Mailing Address
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Address Line | 332 HIDDENBROOK LN
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5409
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Country | US
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Telephone | 630-789-6455
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SYED SAADUDDIN
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Credential | MD
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Telephone | 773-955-5560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 036081114
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License Number State | IL
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