Provider Demographics
NPI:1548377005
Name:SAEED, SHAHNAZ (MD)
Entity type:Individual
Prefix:
First Name:SHAHNAZ
Middle Name:
Last Name:SAEED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 OLD GLENVIEW ROAD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091
Mailing Address - Country:US
Mailing Address - Phone:847-251-1205
Mailing Address - Fax:847-251-1588
Practice Address - Street 1:3201 OLD GLENVIEW ROAD
Practice Address - Street 2:SUITE 205
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091
Practice Address - Country:US
Practice Address - Phone:847-251-1205
Practice Address - Fax:847-251-1588
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-111584207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9915077OtherBCBS
IL036-111584OtherPHYSICIAN LICENSE
ILI59132Medicare UPIN
ILP00341721Medicare PIN
IL9915077OtherBCBS