Individual
DR. ANASTACIO TAN SAAVEDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 282-7000
(847) 692-5114
Mailing address
141 N DEE RD, PARK RIDGE, IL 60068-2812
(847) 692-6116
(847) 692-5114
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-042085
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036-042085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042085
—
IL
Enumeration date
07/14/2006
Last updated
04/15/2010
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