Healthcare Provider Details

I. General information

NPI: 1538758818
Provider Name (Legal Business Name): GYTIS SAVUKYNAS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1962 OHIO ST
LISLE IL
60532-2145
US

IV. Provider business mailing address

532 GRIMES AVE
NAPERVILLE IL
60565-1214
US

V. Phone/Fax

Practice location:
  • Phone: 630-890-2424
  • Fax:
Mailing address:
  • Phone: 630-397-8343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.013653
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number038.013653
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number013653
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number038013653
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: