Healthcare Provider Details

I. General information

NPI: 1326144676
Provider Name (Legal Business Name): SAEED DARBANDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 05/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N HAMMES AVE
JOLIET IL
60435-8117
US

IV. Provider business mailing address

10660 W 143RD ST
ORLAND PARK IL
60462-1982
US

V. Phone/Fax

Practice location:
  • Phone: 815-744-0005
  • Fax: 815-725-1950
Mailing address:
  • Phone: 708-460-4499
  • Fax: 708-460-8031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036085080
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number036085080
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: