=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821184433
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FARHAD SAED, M.D.,S.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 840 W IRVING PARK RD SUITE 204
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60613-3011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-348-8882
-----------------------------------------------------
Fax | 773-348-8883
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 46140
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60646-0140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-348-8882
-----------------------------------------------------
Fax | 773-348-8883
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. FARHAD SAED
-----------------------------------------------------
Credential | M. D.
-----------------------------------------------------
Telephone | 773-348-8882
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VG0400X
-----------------------------------------------------
Taxonomy Name | Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------