MEDICARE: ROLINSON SAVELLA

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	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1942755525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLINSON SAVELLA

Provider Business Mailing Address
First Line	:	3453 SONOMA CIR
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-6731
Country	:	US
Telephone Number	:	224-202-1899
Fax Number	:

Provider Business Practice Location Address
First Line	:	3453 SONOMA CIR
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-6731
Country	:	US
Telephone Number	:	224-202-1899
Fax Number	:

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

Provider Enumeration Date	:	08/24/2016
Last Update Date	:	08/24/2016

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Directions to “ ROLINSON SAVELLA ” Practice Location

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