Healthcare Provider Details

I. General information

NPI: 1962314351
Provider Name (Legal Business Name): DAVID JOSEPH SAAVEDRA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18350 CROSSING DR
TINLEY PARK IL
60487-6294
US

IV. Provider business mailing address

18350 CROSSING DR
TINLEY PARK IL
60487-6294
US

V. Phone/Fax

Practice location:
  • Phone: 708-342-5200
  • Fax:
Mailing address:
  • Phone: 708-297-0577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.022313
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: