Provider Demographics
NPI:1649347881
Name:SAJOR, ROLANDO SALVATIERRA (MD)
Entity type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:SALVATIERRA
Last Name:SAJOR
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 1:209 N WHISPERING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:630-865-1525
Mailing Address - Fax:773-378-8100
Practice Address - Street 1:7257 W TOUHY AVE
Practice Address - Street 2:SUITE 201A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-4342
Practice Address - Country:US
Practice Address - Phone:773-631-6000
Practice Address - Fax:773-894-7772
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036070414208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
0001620482OtherBLUE CROSS
IL036070414Medicaid
IL036070414Medicaid
0001620482OtherBLUE CROSS