Basic Information
Provider Information
NPI: 1952689713
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SABAU
FirstName: ROXANA
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 35318 EAGLE WAY
Address2:  
City: CHICAGO
State: IL
PostalCode: 606781353
CountryCode: US
TelephoneNumber: 3175284800
FaxNumber: 3178651479
Practice Location
Address1: 20201 CRAWFORD AVE
Address2:  
City: OLYMPIA FIELDS
State: IL
PostalCode: 604611010
CountryCode: US
TelephoneNumber: 8447404445
FaxNumber: 7086792161
Other Information
ProviderEnumerationDate: 07/28/2011
LastUpdateDate: 11/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X036.128515ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X036128515ILY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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