Provider Demographics
NPI:1003133679
Name:M Z SAIT MD LTD
Entity Type:Organization
Organization Name:M Z SAIT MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:Z
Authorized Official - Last Name:SAIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-932-2010
Mailing Address - Street 1:34270 EAGLES WAY
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60678-0001
Mailing Address - Country:US
Mailing Address - Phone:630-932-2010
Mailing Address - Fax:630-953-0261
Practice Address - Street 1:675 W NORTH AVE
Practice Address - Street 2:SUITE 606
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1634
Practice Address - Country:US
Practice Address - Phone:630-932-2010
Practice Address - Fax:630-953-0261
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M Z SAIT MD LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036044109174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036044109Medicaid
IL036044109Medicaid