Provider Demographics
NPI:1972670651
Name:SAIT, MOHAMED ZAFAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:ZAFAR
Last Name:SAIT
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 1:2340 S HIGHLAND AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5371
Mailing Address - Country:US
Mailing Address - Phone:630-932-2010
Mailing Address - Fax:630-953-0261
Practice Address - Street 1:2340 S HIGHLAND AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5371
Practice Address - Country:US
Practice Address - Phone:630-932-2010
Practice Address - Fax:630-953-0261
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036044109174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL362818636Medicaid
IL362818636Medicaid
ILC43602Medicare UPIN
IL704380Medicare ID - Type UnspecifiedCOOK COUNTY