Provider Demographics
NPI:1225026776
Name:SAVCENKO, MICHAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAL
Middle Name:
Last Name:SAVCENKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 BUTTERFIELD RD
Mailing Address - Street 2:STE 300
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1069
Mailing Address - Country:US
Mailing Address - Phone:630-725-2700
Mailing Address - Fax:
Practice Address - Street 1:6149 WINDHAVEN PKWY STE 130
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8298
Practice Address - Country:US
Practice Address - Phone:972-881-1320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8183208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165249704Medicaid
TX165249705Medicaid
TXTXB134267Medicare PIN
F84528Medicare UPIN
TX165249704Medicaid
TXTXB156437Medicare PIN
TX265792YMZSMedicare PIN
TXTXB113014Medicare PIN