Provider Demographics
NPI:1225117732
Name:SAVINO, PAULA L (PT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:L
Last Name:SAVINO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:L
Other - Last Name:BEDNARZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:4511 ROUTE 71
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-7416
Practice Address - Country:US
Practice Address - Phone:630-554-7815
Practice Address - Fax:630-554-4849
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070013658225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL202845234Medicare PIN
IL216860031Medicare PIN
ILF400161660Medicare PIN
IL216860031Medicare PIN
ILP00931546OtherMEDICARE RAILROAD
ILF400161660Medicare PIN
ILK52948Medicare PIN