Provider Demographics
NPI:1023344421
Name:SABS CORPORATION
Entity type:Organization
Organization Name:SABS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-544-7283
Mailing Address - Street 1:899 S WEBER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5488
Mailing Address - Country:US
Mailing Address - Phone:630-544-7283
Mailing Address - Fax:708-221-6631
Practice Address - Street 1:899 S WEBER RD
Practice Address - Street 2:SUITE A
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5488
Practice Address - Country:US
Practice Address - Phone:630-544-7283
Practice Address - Fax:708-221-6631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036090333207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL2167Medicare PIN