Savastio, Raymond J
Savastio, Raymond J is an sole proprietor health care provider with primary practice located at 4343 N Kedzie Ave , Chicago IL 60618-1301. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Savastio, Raymond J can be contacted via phone (773) 604-4419.Contact Information
Primary practice address
4343 N Kedzie Ave
Chicago IL 60618-1301
Phone: (773) 604-4419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051-034511 | Illinois |
Profile Details
| NPI number | 1033490057 |
|---|---|
| LBN Legal business name | Savastio, Raymond J |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2011 |
| Last updated | Sep 3rd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033490057 | NPPES |
| Illinois | MEDICAID | 361924025462 |
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