Provider Demographics
NPI:1700878832
Name:SAVOIE, CRAIG (CRNA)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:SAVOIE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 E HIGGINS RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-5621
Mailing Address - Country:US
Mailing Address - Phone:847-296-5700
Mailing Address - Fax:847-296-5990
Practice Address - Street 1:1101 AUDUBON AVE
Practice Address - Street 2:SUITE S4
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-4957
Practice Address - Country:US
Practice Address - Phone:985-447-7246
Practice Address - Fax:985-446-7614
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN072058367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5X884CF38Medicare ID - Type UnspecifiedPROVIDER NUMBER