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Organization
SURGICAL LTD
Active
Organization
SURGICAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAEED DARBANDI SR. M.D. (PRESIDENT)
(708) 349-0055
Entity
Organization
Contact information
Practice address
302 N HAMMES AVE, JOLIET, IL 60435-8117
(815) 744-0005
Mailing address
10660 W 143RD ST STE B, ORLAND PARK, IL 60462-1989
(708) 349-0055
(708) 460-8031
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
36085080
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085080
—
IL
01
—
09932096
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/11/2007
Last updated
05/17/2008
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