Healthcare Provider Details

I. General information

NPI: 1588224224
Provider Name (Legal Business Name): KHRYSTYNA SAVCHUK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2019
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 N DAMEN AVE
CHICAGO IL
60647-5553
US

IV. Provider business mailing address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

V. Phone/Fax

Practice location:
  • Phone: 312-219-2230
  • Fax: 312-219-2239
Mailing address:
  • Phone: 312-219-2230
  • Fax: 312-219-2239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036159039
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: