Provider Demographics
NPI:1770609885
Name:SABOOR, SYED ABDUL (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:ABDUL
Last Name:SABOOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:204 LIDO TRL
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-8600
Mailing Address - Country:US
Mailing Address - Phone:630-736-0997
Mailing Address - Fax:630-736-0206
Practice Address - Street 1:3201 UNION AVE
Practice Address - Street 2:
Practice Address - City:STEGER
Practice Address - State:IL
Practice Address - Zip Code:60475-1120
Practice Address - Country:US
Practice Address - Phone:708-755-5105
Practice Address - Fax:708-755-5150
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILB69401Medicare UPIN