Provider Demographics
NPI:1801834379
Name:SAKHUJA, SUZAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZAN
Middle Name:
Last Name:SAKHUJA
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 1:14489 JOHN HUMPHREY DR
Mailing Address - Street 2:SUITE # 1-NA
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-2671
Mailing Address - Country:US
Mailing Address - Phone:708-364-1205
Mailing Address - Fax:708-364-1265
Practice Address - Street 1:14489 JOHN HUMPHREY DRIVE
Practice Address - Street 2:SUITE # 1-NA
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462
Practice Address - Country:US
Practice Address - Phone:708-364-1205
Practice Address - Fax:708-364-1265
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036056689207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine