Healthcare Provider Details

I. General information

NPI: 1689179772
Provider Name (Legal Business Name): AAIMA SAYED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 S GARY AVE
BLOOMINGDALE IL
60108-2228
US

IV. Provider business mailing address

245 S GARY AVE
BLOOMINGDALE IL
60108-2228
US

V. Phone/Fax

Practice location:
  • Phone: 201-539-0688
  • Fax:
Mailing address:
  • Phone: 201-539-0688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number125.072054
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036.161978
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: