MEDICARE: MS. ANGELEE SAYLES D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	DO3100	NV

General Provider Information

NPI Number	:	1033539911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELEE SAYLES D.O.

Provider Business Mailing Address
First Line	:	1555 BARRINGTON RD LOWR LEVEL
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1019
Country	:	US
Telephone Number	:	847-490-4222
Fax Number	:

Provider Business Practice Location Address
First Line	:	3061 S MARYLAND PKWY STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-6226
Country	:	US
Telephone Number	:	22-545-4377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2014
Last Update Date	:	07/13/2022

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