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BASHI BANDARI M.D. S.C. NPI 1104040120


NPI Information

NPI: 1104040120
Provider Name: BASHI BANDARI, M.D. , S.C.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
812 SAINT STEPHENS GRN
OAK BROOK, IL
ZIP 60523
Phone: (630) 789-3412
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BASHI BANDARI, M.D. , S.C. is a general practice in Oak Brook, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BASHI BANDARI, M.D. , S.C. NPI is 1104040120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

812 SAINT STEPHENS GRN
OAK BROOK, IL
ZIP 60523-566
Phone: (630) 789-3412
Fax: (630) 789-3412

The provider's authorized official is Bashi Bandari .
The authorized official title is Md and has the following contact phone number (630) 789-3412.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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