Provider Demographics
NPI:1922000777
Name:SAGHIR, FAISAL (MD)
Entity Type:Individual
Prefix:
First Name:FAISAL
Middle Name:
Last Name:SAGHIR
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 1:10 HEALTH SERVICES DR
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-9637
Mailing Address - Country:US
Mailing Address - Phone:815-756-5255
Mailing Address - Fax:
Practice Address - Street 1:10 HEALTH SERVICES DR
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-9637
Practice Address - Country:US
Practice Address - Phone:815-756-5255
Practice Address - Fax:815-756-9944
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036105740207RH0003X
WI54665207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400405151OtherMEDICARE
NH30203250Medicaid
NH110248458OtherRAILROAD MEDICARE
WI73601 1847Medicare PIN
NH01YP04239NH01OtherANTHEM BC/BS
NH1600914OtherCIGNA HEALTHCARE
H70270Medicare UPIN
NHRE6913Medicare PIN
NH11720OtherSTATE LICENSE NUMBER
NV30203250Medicaid
WI68086 0651Medicare PIN
BS8010617OtherFEDERAL DEA NUMBER
NHH70270Medicare UPIN
WI1922000777Medicaid
NH01Y004239NH03OtherBCBS
020350051OtherFEDERAL TAX ID