MEDICARE: SYED SAADUDDIN MD SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	036081114	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932345881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYED SAADUDDIN MD SC

Provider Business Mailing Address
First Line	:	332 HIDDENBROOK LN
Second Line	:
City	:	WILLOWBROOK
State	:	IL
Zip	:	60527-5409
Country	:	US
Telephone Number	:	630-789-6455
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 E 61ST ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60637-2324
Country	:	US
Telephone Number	:	773-955-5560
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SYED SAADUDDIN
Credential	:	MD
Telephone Number	:	773-955-5560

Provider Enumeration Date	:	12/24/2008
Last Update Date	:	12/24/2008

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