Basic Information
Provider Information
NPI: 1770986200
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAYEED
FirstName: HUMA
MiddleName: OMAIR
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 801 S MILWAUKEE AVE
Address2:  
City: LIBERTYVILLE
State: IL
PostalCode: 600483204
CountryCode: US
TelephoneNumber: 8473622900
FaxNumber:  
Practice Location
Address1: 801 S MILWAUKEE AVE
Address2:  
City: LIBERTYVILLE
State: IL
PostalCode: 600483204
CountryCode: US
TelephoneNumber: 8473622900
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/29/2014
LastUpdateDate: 04/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X63616MNN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X4301105067MIN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LC0200X036.150799ILY Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine

No ID Information.


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