MEDICARE: CAROLINE TORRES SAAVEDRA P.T

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	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1952454530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE TORRES SAAVEDRA P.T

Provider Business Mailing Address
First Line	:	286 LOCKWOOD AVE
Second Line	:
City	:	NORTHFIELD
State	:	IL
Zip	:	60093-3537
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 S PAULINA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3808
Country	:	US
Telephone Number	:	847-501-4891
Fax Number	:

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/08/2007

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