Healthcare Provider Details

I. General information

NPI: 1568447647
Provider Name (Legal Business Name): MIRELA SAVCIC M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 N HALSTED ST STE 502
CHICAGO IL
60642-2613
US

IV. Provider business mailing address

680 N LAKE SHORE DR STE 1000
CHICAGO IL
60611-8709
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-7337
  • Fax: 312-926-7767
Mailing address:
  • Phone: 312-695-9797
  • Fax: 312-695-6594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036110133
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: