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NPI Code Detail

MEDICARE: MIDWEST ANESTHESIA AND PAIN SPECIALISTS, SC

MEDICARE: MIDWEST ANESTHESIA AND PAIN SPECIALISTS, SC
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
1174400000XSpecialist

General Provider Information

NPI Number : 1437542651
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST ANESTHESIA AND PAIN SPECIALISTS, SC
Provider Business Mailing Address
First Line : 9680 GOLF ROAD
Second Line :
City : DESPLAINES
State : IL
Zip : 60016
Country : US
Telephone Number : 773-362-2917
Fax Number : 773-362-2768
Provider Business Practice Location Address
First Line : 4354 W 63RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-5039
Country : US
Telephone Number : 773-362-2917
Fax Number : 773-362-2768
Authorized Official
Title or Position : CEO
Name : DARREL J SALDANHA
Credential : MD
Telephone Number : 773-362-2917
Provider Enumeration Date : 03/12/2015
Last Update Date : 03/06/2019

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Directions to “MIDWEST ANESTHESIA AND PAIN SPECIALISTS, SC ” Practice Location

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