Provider Demographics
NPI:1417936907
Name:SAKSENA, FRANKLIN B (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:B
Last Name:SAKSENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 W FOSTER AVE
Mailing Address - Street 2:SUITE 312
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3500
Mailing Address - Country:US
Mailing Address - Phone:773-769-1110
Mailing Address - Fax:773-769-4689
Practice Address - Street 1:2740 W FOSTER AVE
Practice Address - Street 2:SUITE 312
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-3500
Practice Address - Country:US
Practice Address - Phone:773-769-1110
Practice Address - Fax:773-769-4689
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360435731207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL043573OtherMUTUAL OF OMAHA
IL363033029 0001OtherCIGNA
IL21602466OtherBLUE SHIELD PROVIDER #
IL21602466OtherBLUE SHIELD PROVIDER #
ILC43902Medicare UPIN