Provider Demographics
NPI:1740254754
Name:SAJOUS, CHRISTINE H (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:H
Last Name:SAJOUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 S FIRST AVE
Mailing Address - Street 2:(MAGUIRE CENTER, RM. 3307)
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:708-216-4403
Mailing Address - Fax:708-216-3375
Practice Address - Street 1:2160 S FIRST AVE
Practice Address - Street 2:(MAGUIRE CENTER, RM. 3307)
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153
Practice Address - Country:US
Practice Address - Phone:708-216-4403
Practice Address - Fax:708-216-3375
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL360640202080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36064020Medicaid
IL36064020Medicaid