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Contact Information

BASUDEB SAHA MD SC
4318 W CRYSTAL LAKE RD
SUITE L
MCHENRY, IL60050-4210
 Phone: 815-344-0620
 Fax: 815-344-0504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BASUDEB SAHA MD SC · (Female)

NPI Number 1851613947
Status Active
Credentials
Entity Individual
Enumeration date 02/17/2010
Last updated 06/15/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036052882
  • IL Medicaid 036052882
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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