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General NPI Number Information
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NPI Number | 1669424974
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Entity Type | Organization
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Legal Business Name | M.L. SAVITT INC
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 1800 HOLLISTER DR SUITE 111
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-5263
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Country | US
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Telephone | 847-573-9055
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Fax | 847-573-1790
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Provider Business Mailing Address
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Address Line | 1800 HOLLISTER DR SUITE 111
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-5263
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Country | US
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Telephone | 847-573-9055
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Fax | 847-573-1790
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL L SAVITT
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Credential | MD
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Telephone | 847-573-9055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036082634
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License Number State | IL
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