Provider Demographics
NPI:1922283068
Name:SANA & SABA MEDICAL CENTER LTD.
Entity Type:Organization
Organization Name:SANA & SABA MEDICAL CENTER LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SABIHA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:THASEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-962-6072
Mailing Address - Street 1:5535 W CERMAK RD STE A
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-2218
Mailing Address - Country:US
Mailing Address - Phone:708-780-7705
Mailing Address - Fax:
Practice Address - Street 1:5535 W CERMAK RD STE A
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-2218
Practice Address - Country:US
Practice Address - Phone:708-780-7705
Practice Address - Fax:708-780-7795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036092253261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01622612OtherBLUE CROSS BLUE SHIELD
IL036092253Medicaid
ILK07402Medicare UPIN