Healthcare Provider Details

I. General information

NPI: 1033539911
Provider Name (Legal Business Name): ANGELEE SAYLES D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3061 S MARYLAND PKWY STE 101
LAS VEGAS NV
89109-6226
US

IV. Provider business mailing address

1555 BARRINGTON RD LOWR LEVEL
HOFFMAN ESTATES IL
60169-1019
US

V. Phone/Fax

Practice location:
  • Phone: 22-545-4377
  • Fax:
Mailing address:
  • Phone: 847-490-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDO3100
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: