Healthcare Provider Details

I. General information

NPI: 1497340525
Provider Name (Legal Business Name): SAYENA JABBEHDARI MD-MPH- MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 S WOOD ST
CHICAGO IL
60612-3747
US

IV. Provider business mailing address

901 S ASHLAND AVE APT 608
CHICAGO IL
60607-4087
US

V. Phone/Fax

Practice location:
  • Phone: 866-600-2273
  • Fax:
Mailing address:
  • Phone: 224-258-5615
  • 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 State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number036.174264
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: