| Dr Sujata Sajjan, MD | |
|
8150 185th St, Tinley Park, IL 60487-9229 | |
| (708) 444-0444 | |
| Not Available |
| Full Name | Dr Sujata Sajjan |
|---|---|
| Gender | Female |
| Speciality | Pathology - Hematology |
| Location | 8150 185th St, Tinley Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417485426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZH0000X | Pathology - Hematology | 036.160509 (Illinois) | Primary |
| Entity Name | Palos Diagnostics Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447497318 PECOS PAC ID: 2668539487 Enrollment ID: O20090324000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sujata Sajjan, MD 8150 185th St, Tinley Park, IL 60487-9229 Ph: (708) 444-0444 | Dr Sujata Sajjan, MD 8150 185th St, Tinley Park, IL 60487-9229 Ph: (708) 444-0444 |
Victoria Shusharina, M.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 8150 185th St, Ste A, Tinley Park, IL 60487 Phone: 708-468-8716 | |
Dr. Hytham Al-masri, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 8150 185th St Ste A60487, Tinley Park, IL 60487 Phone: 708-444-0444 | |
Stephen G. Ruby, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 17148 Harlem Ave, Tinley Park, IL 60477 Phone: 708-429-1200 |