MEDICARE: OLGA LIDIA SAAVEDRA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036099738	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	114128	OTHER	IL	AMERIGROUP
3	01632245	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1134235674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA LIDIA SAAVEDRA MD

Provider Business Mailing Address
First Line	:	1044 N MOZART
Second Line	:	SUITE 503
City	:	CHICAGO
State	:	IL
Zip	:	60622
Country	:	US
Telephone Number	:	773-772-9607
Fax Number	:	773-772-9609

Provider Business Practice Location Address
First Line	:	1044 N MOZART
Second Line	:	SUITE 503
City	:	CHICAGO
State	:	IL
Zip	:	60622
Country	:	US
Telephone Number	:	773-772-9607
Fax Number	:	773-772-9609

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	12/01/2025

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Directions to “ OLGA LIDIA SAAVEDRA MD” Practice Location

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