Healthcare Provider Details

I. General information

NPI: 1013412832
Provider Name (Legal Business Name): ALEXANDER D SAVAGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2018
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 WEST AVE STE 100
ORLAND PARK IL
60462-4600
US

IV. Provider business mailing address

15300 WEST AVE STE 100
ORLAND PARK IL
60462-4600
US

V. Phone/Fax

Practice location:
  • Phone: 708-923-4400
  • Fax: 708-923-4421
Mailing address:
  • Phone: 708-923-4400
  • Fax: 708-923-4421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number67071
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number036170205
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: