MEDICARE: DANIEL SAVIANO MD

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	207P00000X	Emergency Medicine Physician	36078096	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	930110253	OTHER	IL	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1457392037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL SAVIANO MD

Provider Business Mailing Address
First Line	:	PO BOX 544
Second Line	:	DEPT 5390
City	:	MILWAUKEE
State	:	WI
Zip	:	53201-0544
Country	:	US
Telephone Number	:	815-713-2600
Fax Number	:	815-654-8020

Provider Business Practice Location Address
First Line	:	4211 N CICERO AVE
Second Line	:	SUITE 100
City	:	CHICAGO
State	:	IL
Zip	:	60641-1651
Country	:	US
Telephone Number	:	773-794-1000
Fax Number	:	773-794-9986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	11/06/2009

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Directions to “ DANIEL SAVIANO MD” Practice Location

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