Provider Demographics
NPI:1942755525
Name:SAVELLA, ROLINSON
Entity Type:Individual
Prefix:
First Name:ROLINSON
Middle Name:
Last Name:SAVELLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3453 SONOMA CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-6731
Mailing Address - Country:US
Mailing Address - Phone:224-202-1899
Mailing Address - Fax:
Practice Address - Street 1:3453 SONOMA CIR
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-6731
Practice Address - Country:US
Practice Address - Phone:224-202-1899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide