MEDICARE: SAVING LIVES INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1073859492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVING LIVES INCORPORATED

Provider Business Mailing Address
First Line	:	507 E 144TH ST
Second Line	:
City	:	DOLTON
State	:	IL
Zip	:	60419-1145
Country	:	US
Telephone Number	:	708-439-2962
Fax Number	:

Provider Business Practice Location Address
First Line	:	4627 S STATE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-4602
Country	:	US
Telephone Number	:	708-439-2962
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. APRIL SWEATT
Credential	:
Telephone Number	:	708-439-2962

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	12/13/2012

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Directions to “SAVING LIVES INCORPORATED ” Practice Location

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