MEDICARE: DR. AAMIR BANDAY M.D.

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	207P00000X	Emergency Medicine Physician	036-090010	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467477810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AAMIR BANDAY M.D.

Provider Business Mailing Address
First Line	:	75 REMITT DRIVE
Second Line	:	LOCKBOX 1374
City	:	CHICAGO
State	:	IL
Zip	:	60675-1374
Country	:	US
Telephone Number	:	866-916-5259
Fax Number	:	231-922-4030

Provider Business Practice Location Address
First Line	:	800 E CARPENTER ST
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62769-0002
Country	:	US
Telephone Number	:	217-464-2966
Fax Number	:

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/24/2025

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