Provider Demographics
NPI:1568447647
Name:SAVCIC, MIRELA (MD)
Entity Type:Individual
Prefix:MRS
First Name:MIRELA
Middle Name:
Last Name:SAVCIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 N LAKE SHORE DR STE 1000
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-8709
Mailing Address - Country:US
Mailing Address - Phone:312-695-9797
Mailing Address - Fax:312-695-6594
Practice Address - Street 1:1460 N HALSTED ST STE 502
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-2613
Practice Address - Country:US
Practice Address - Phone:312-926-7337
Practice Address - Fax:312-926-7767
Is Sole Proprietor?:No
Enumeration Date:2005-12-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036110133207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01621679OtherBCBS OF IL
IL036110133Medicaid
IL01621679OtherBCBS OF IL
ILI22135Medicare UPIN