Healthcare Provider Details
I. General information
NPI: 1558773754
Provider Name (Legal Business Name): MIDWEST ANESTHESIA AND PAIN SPECIALISTS, SC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2014
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9700 GOLF RD SECOND FLOOR
DES PLAINES IL
60016
US
IV. Provider business mailing address
9680 GOLF RD
DES PLAINES IL
60016-1522
US
V. Phone/Fax
- Phone: 847-348-8250
- Fax: 847-296-5686
- Phone: 847-348-8250
- Fax: 847-296-5686
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP3300X |
| Taxonomy | Pain Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARREL
J
SALDANHA
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 847-212-8227