Healthcare Provider Details

I. General information

NPI: 1326447020
Provider Name (Legal Business Name): SAVING LIVES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 S STONY ISLAND AVE FL 3
CHICAGO IL
60649-3613
US

IV. Provider business mailing address

2907 S WABASH AVE STE 103
CHICAGO IL
60616-3271
US

V. Phone/Fax

Practice location:
  • Phone: 312-202-0419
  • Fax: 773-417-0441
Mailing address:
  • Phone: 312-202-0419
  • Fax: 773-417-0441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LATHEA SMYLES
Title or Position: CEO
Credential:
Phone: 708-473-7842