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NPI Code Detail

MEDICARE: ZOE SAAVEDRA PA-C

MEDICARE: ZOE SAAVEDRA PA-C
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
1363A00000XPhysician Assistant085009959IL

General Provider Information

NPI Number : 1215711619
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE SAAVEDRA PA-C
Provider Business Mailing Address
First Line : 13011 S 104TH AVE STE 100
Second Line :
City : PALOS PARK
State : IL
Zip : 60464-1508
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13011 S 104TH AVE STE 100
Second Line :
City : PALOS PARK
State : IL
Zip : 60464-1508
Country : US
Telephone Number : 708-274-3278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2023
Last Update Date : 01/22/2026

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Directions to “ ZOE SAAVEDRA PA-C” Practice Location

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