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NPI Code Detail

MEDICARE: JESSICA SAAVEDRA

MEDICARE: JESSICA SAAVEDRA
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
1363A00000XPhysician AssistantIL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1902615529
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SAAVEDRA
Provider Business Mailing Address
First Line : 3600 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2319
Country : US
Telephone Number : 773-782-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2025
Last Update Date : 03/26/2026

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Directions to “ JESSICA SAAVEDRA ” Practice Location

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