Provider Demographics
NPI:1124182860
Name:MUEED, SAJJAD (MD)
Entity type:Individual
Prefix:DR
First Name:SAJJAD
Middle Name:
Last Name:MUEED
Suffix:
Gender:M
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:PO BOX 19643
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62794-9643
Mailing Address - Country:US
Mailing Address - Phone:217-545-8417
Mailing Address - Fax:217-545-8039
Practice Address - Street 1:751 N RUTLEDGE ST
Practice Address - Street 2:SUITE 3100
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62702-4968
Practice Address - Country:US
Practice Address - Phone:217-545-8417
Practice Address - Fax:217-545-8039
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0940792084S0012X, 2084N0400X, 2084N0600X
IL039-0940792084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036094079Medicaid
IL748940OtherMEDICARE GROUP
IL5315769OtherBCBS
ILP00427622Medicare PIN
ILK39729Medicare UPIN
IL748940OtherMEDICARE GROUP
IL036094079Medicaid