Provider Demographics
NPI:1326144676
Name:DARBANDI, SAEED (MD)
Entity Type:Individual
Prefix:DR
First Name:SAEED
Middle Name:
Last Name:DARBANDI
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 1:10660 W 143RD ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1982
Mailing Address - Country:US
Mailing Address - Phone:708-460-4499
Mailing Address - Fax:708-460-8031
Practice Address - Street 1:302 N HAMMES AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8117
Practice Address - Country:US
Practice Address - Phone:815-744-0005
Practice Address - Fax:815-725-1950
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2008-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036085080208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036085080Medicaid
ILK08775Medicare PIN