Provider Demographics
NPI:1225272875
Name:SALDANHA, DARREL J (MD)
Entity Type:Individual
Prefix:
First Name:DARREL
Middle Name:J
Last Name:SALDANHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9680 GOLF RD
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1522
Mailing Address - Country:US
Mailing Address - Phone:773-482-5800
Mailing Address - Fax:
Practice Address - Street 1:9680 GOLF RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1522
Practice Address - Country:US
Practice Address - Phone:773-482-5800
Practice Address - Fax:773-362-2768
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2021-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036130154208VP0014X, 207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine