Provider Demographics
NPI:1578350435
Name:BANDEALY, AARIFAH (DO)
Entity type:Individual
Prefix:DR
First Name:AARIFAH
Middle Name:
Last Name:BANDEALY
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 FELDOTT LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9212
Mailing Address - Country:US
Mailing Address - Phone:630-687-7868
Mailing Address - Fax:
Practice Address - Street 1:2103 FELDOTT LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9212
Practice Address - Country:US
Practice Address - Phone:630-687-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program