Provider Demographics
NPI:1578619300
Name:SAIGAL, SHASHI (MD)
Entity Type:Individual
Prefix:DR
First Name:SHASHI
Middle Name:
Last Name:SAIGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 EUCLID
Mailing Address - Street 2:SUITE C
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067
Mailing Address - Country:US
Mailing Address - Phone:847-303-1100
Mailing Address - Fax:847-303-1111
Practice Address - Street 1:4949 EUCLID
Practice Address - Street 2:SUITE C
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067
Practice Address - Country:US
Practice Address - Phone:847-303-1100
Practice Address - Fax:847-303-1111
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036066129207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL322350Medicare ID - Type Unspecified
C43858Medicare UPIN