Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 038.013579 | IL |
NPI | 1457965170 |
---|---|
Provider Name | Dr. Shashank Saxena |
First Address | Hoffman Estates, IL 60192-1666 |
Second Address | Hoffman Estates, IL 60192-1666 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2020 |
Last Update Date | 01/09/2020 |