Provider Demographics
NPI:1679510275
Name:SADAH, ALAN Y (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:Y
Last Name:SADAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3201 OLD GLENVIEW RD STE 225
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2967
Mailing Address - Country:US
Mailing Address - Phone:773-385-6069
Mailing Address - Fax:773-385-6281
Practice Address - Street 1:2735 N HARLEM AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60707-1636
Practice Address - Country:US
Practice Address - Phone:773-385-6069
Practice Address - Fax:773-385-6281
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2018-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036081195208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036081195Medicaid