| Organization Name: | BASHI BANDARI, M.D. , S.C. |
| NPI Number: | 1104040120 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BASHI BANDARI (MD) |
| Mailing Address: | 812 Saint Stephens Grn Oak Brook |
| State: | IL US |
| Postal Code: | 605232566 |
| Phone Number: | 6307893412 |
| Fax Number: | 6307893412 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |