Provider Demographics
NPI:1659394476
Name:SAYEED, SIFATUR R (MD)
Entity Type:Individual
Prefix:
First Name:SIFATUR
Middle Name:R
Last Name:SAYEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 N HIGHLAND AVE STE 4A
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1464
Mailing Address - Country:US
Mailing Address - Phone:630-844-6600
Mailing Address - Fax:630-844-6611
Practice Address - Street 1:1300 N HIGHLAND AVE STE 4A
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1464
Practice Address - Country:US
Practice Address - Phone:630-844-6600
Practice Address - Fax:630-844-6611
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036094039207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036094039Medicaid
ILK16964Medicare ID - Type Unspecified