Provider Demographics
NPI:1487540985
Name:SAIDYKHAN, ISATOU A
Entity type:Individual
Prefix:MS
First Name:ISATOU
Middle Name:A
Last Name:SAIDYKHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 DENISON DR APT A
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4473
Mailing Address - Country:US
Mailing Address - Phone:217-786-8228
Mailing Address - Fax:
Practice Address - Street 1:1304 DENISON DR APT A
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-4473
Practice Address - Country:US
Practice Address - Phone:217-786-8228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician