Healthcare Provider Details

I. General information

NPI: 1740074525
Provider Name (Legal Business Name): MIDWEST ANESTHESIA AND PAIN SPECIALISTS SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10095 W LINCOLN HWY
FRANKFORT IL
60423-1272
US

IV. Provider business mailing address

9680 GOLF RD
DES PLAINES IL
60016-1522
US

V. Phone/Fax

Practice location:
  • Phone: 815-806-0400
  • Fax: 815-806-0406
Mailing address:
  • Phone: 773-362-2917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DARREL J SALDANHA
Title or Position: CEO
Credential: MD
Phone: 773-362-2917