Organization
RAUL G SAAVEDRA MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL G SAAVEDRA MD (PRESIDENT)
(708) 660-0500
Entity
Organization
Contact information
Practice address
1101 LAKE ST, SUITE 304, OAK PARK, IL 60301-1085
(708) 660-0500
(708) 763-0827
Mailing address
1101 LAKE ST, SUITE 304, OAK PARK, IL 60301-1085
(708) 660-0500
(708) 763-0827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036043160
IL
207RP1001X
Pulmonary Disease Physician
Primary
036043160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043160
—
IL
01
—
1467484063
BLUE CROSS BLUE SHIELD
KY
Enumeration date
07/14/2010
Last updated
11/12/2010
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